JASON R MICHAELS (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1679988521

JASON R MICHAELS (MD) is a healthcare provider. based in Bloomington, Illinois. specializing in PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 036-145873 (IL). The NPI Number for JASON R MICHAELS (MD) is 1679988521

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JASON R MICHAELS (MD)
NPI
1679988521
Phone
(309) 663-6461
Address
1111 TRINITY LN STE 111
Enumeration Date
29 June 2014
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8887122753
Graduation Year
2014 (12 years ago)
PAC ID
4688891625
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20190625002563
Address ID
IL618012501UR611XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

486 PAIN MANAGEMENT in IL

Provider Addresses for JASON R MICHAELS (MD)

  • 1111 TRINITY LN STE 111

    BLOOMINGTON, IL 617048112

    Phone: (309) 663-6461

    Fax: (309) 663-5711

    Type: Mailing

  • 701 N 1ST ST

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-0182

    Fax: (217) 545-4735

    Type: Location

  • 1111 Trinity Ln Ste 111

    Bloomington, IL 617048112

    Phone: (309) 663-6461

    Fax: (309) 663-5711

    Type: Location

  • 611 W. PARK ST

    FAPC

    URBANA, IL 61801

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($93).

Total Amount

$127

General + Research + Ownership

Payments

4

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190625002563IPain ManagementILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2795Injection, ropivacaine hydrochloride, 1 mg6,55042$0
J1100Injection, dexamethasone sodium phosphate, 1 mg80570$0
99214Established patient office or other outpatient visit, 30-39 minutes391229$0
99204New patient office or other outpatient visit, 45-59 minutes144144$0
J1040Injection, methylprednisolone acetate, 80 mg10983$0
View full utilization report →

Insurance plans in this area (ZIP 61704)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
Nurse PractitionerIL
-FL
Nurse PractitionerIL
Nurse PractitionerIL
P O D I A T R YIL
Hospitalist, Family PracticeTX
-IL

Reviews

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Frequently asked questions

How is JASON R MICHAELS (MD) identified in CMS data?
CMS-hosted NPPES data lists JASON R MICHAELS (MD) with NPI 1679988521.
Does CMS list JASON R MICHAELS (MD) as active?
Yes — JASON R MICHAELS (MD) is active in the NPI listing used on this page.
What is JASON R MICHAELS (MD)'s specialty?
The listing groups JASON R MICHAELS (MD) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JASON R MICHAELS (MD)?
JASON R MICHAELS (MD)'s geographic hint is Bloomington, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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