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Active NPI 1548675945 Individual Practitioner Male Practitioner

Jacob Smith , PA-C, ATC

Physician Assistant • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Smith, PA-C, ATC is a certified Physician Assistant practicing in Bloomington, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Jacob Smith delivers high-quality medical care to the local community at 1111 TRINITY LN STE 111.

Jacob Smith maintains professional affiliations with Carle West Physician Group Inc, Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Trinity Ln Ste 111

Bloomington, IL 617048112

Telephone 3096636461
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bloomington, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Bloomington, IL (4958 Statewide)

Telehealth Adoption Rate
7.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
94.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (5 Years) 5 Yrs
Bloomington Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg
8,736 20 $11.51 $0.53
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
1,140 12 $87.53 $6.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
220 27 $13.01 $0.99
99213 Established patient office or other outpatient visit, typically 15 minutes
136 104 $215.00 $73.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
82 65 $320.00 $104.09
20610 Aspiration and/or injection of fluid from large joint
81 54 $407.41 $58.93
27447 Replacement of knee joint, both sides of knee
32 32 $7195.78 $172.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 26 $140.00 $45.56
27130 Replacement of thigh bone and hip joint with prosthesis
19 18 $7244.08 $172.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $480.00 $136.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $315.00 $91.44

Medical Specialties & State Licenses

CMS Verified: 2022-03-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085008559

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IL 085008559

Definition to come...

Hospital & Practice Group Affiliations

Carle West Physician Group Inc

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle West Physician Group Inc

3024 E Empire St, Bloomington, IL 617045402

Carle Health Care Incorporated

101 S Major St, Eureka, IL 615301246

Phone: 3093042128

Carle West Physician Group Inc

101 S Major St, Eureka, IL 615301246

Phone: 3093042128

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Physician Assistant (Certified)

Dr. Elizabeth Plocher , MD

Orthopaedic Surgery - Hand Surgery

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Doctor of Medicine (M.D.)

Abby Curtis , PT, MS, CLT

Physical Therapist

NPI 1124036322

Physical Therapist, Master of Science, Certified Lymphedema Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address March 30, 2022

Registered at 611 W. PARK ST., FAPC, URBANA, IL 61801

📍
Updated Practice Location August 23, 2021

Registered at 1111 TRINITY LN STE 111, BLOOMINGTON, IL 617048112 (Tel: 3096636461)

👤
Provider Name / Credentials Updated August 23, 2021

Recorded as JACOB SMITH, PA-C, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2021

Physician Assistant (License #085008559 in IL)

👤
Provider Name / Credentials Updated February 08, 2021

Recorded as JACOB SMITH, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2021

Physician Assistant

📍
Updated Practice Location May 08, 2020

Registered at 309 LAKE SHORE CIR, BLOOMINGTON, IL 617041412 (Tel: 9125156645)

NPI Profile Active April 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2016

Registered at 205 LANIER DRIVE, ROOM 1122, GEORGIA SOUTHERN UNIVERSITY, STATESBORO, GA 30458 (Tel: 9124785509)

📍
Updated Business Mailing Address April 06, 2016

Registered at 309 LAKE SHORE CIR, BLOOMINGTON, IL 617041412 (Tel: 9125156645)

👤
Provider Name / Credentials Updated April 06, 2016

Recorded as JACOB SMITH, MS, ATC, LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2016

Specialist/Technologist (License #AT002681 in GA)

🟢
Initial NPI Registration & Enumeration June 24, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548675945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2014
Last Update: March 30, 2022
Sole Proprietor: Yes

Mailing Address

611 W. Park St., Fapc

Urbana, IL 61801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.