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Active NPI 1376166264 Individual Practitioner Male Practitioner

Carlos Rodolfo Bocanegra Cordova , PA-C

Physician Assistant • Champaign, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carlos Bocanegra Cordova, PA-C is a certified Physician Assistant practicing in Champaign, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Carlos Bocanegra Cordova delivers high-quality medical care to the local community at 819 BLOOMINGTON RD.

Carlos Bocanegra Cordova is affiliated with Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

819 Bloomington Rd

Champaign, IL 618202101

Telephone 2173561558
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Champaign, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -9.4 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Champaign, IL (4958 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bocanegra Cordova (6 Years) 6 Yrs
Champaign Specialty Average (15.4 Years) 15.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes
91 87 $153.52 $53.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 37 $233.95 $78.58

Medical Specialties & State Licenses

CMS Verified: 2020-06-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.007669

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.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

1701 W Curtis Rd, Champaign, IL 618229678

Phone: 2173656200

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012500

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Practice Associates & Co-Workers

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

23 Associated Practitioners
Jessica Mandrell

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043084528
NPI 1053386250

Doctor of Medicine (M.D.)

River Andres , PA

Physician Assistant

NPI 1093283954

Physician Assistant

Valerie Cintron

Social Worker - Clinical

NPI 1144639196
Jenny Daab , PNP

Nurse Practitioner - Pediatrics

NPI 1144662388

Pediatric Nurse Practitioner

Myoungsu Song

Dentist - General Practice

NPI 1154932218

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 17, 2020

Registered at 819 BLOOMINGTON RD, CHAMPAIGN, IL 618202101 (Tel: 2173561558)

📍
Updated Business Mailing Address June 17, 2020

Registered at 819 BLOOMINGTON RD, CHAMPAIGN, IL 618202101 (Tel: 2173561558)

NPI Profile Active May 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2020

Registered at 401 W CURTIS RD APT 1-106, SAVOY, IL 618749662 (Tel: 2176373107)

📍
Updated Business Mailing Address May 26, 2020

Registered at 401 W CURTIS RD APT 1-106, SAVOY, IL 618749662 (Tel: 2176373107)

👤
Provider Name / Credentials Updated May 26, 2020

Recorded as CARLOS BOCANEGRA CORDOVA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2020

Physician Assistant (License #085.007669 in IL)

🟢
Initial NPI Registration & Enumeration May 26, 2020

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: 1376166264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2020
Last Update: June 17, 2020
Sole Proprietor: No

Mailing Address

819 Bloomington Rd

Champaign, IL 618202101

Phone: 2173561558

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.