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Active NPI 1174950661 Individual Practitioner Male Practitioner

Jack Michael Brunson , PA-C

Physician Assistant • Elgin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jack Brunson, PA-C is a certified Physician Assistant practicing in Elgin, IL. With approximately 13 years of clinical experience since completing medical education in 2013, Jack Brunson delivers high-quality medical care to the local community at 1425 N RANDALL RD.

Jack Brunson accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1425 N Randall Rd

Elgin, IL 601232300

Telephone 8477429800
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elgin, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs +4.1 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
90 Specialists

Practicing in Elgin, IL (4958 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brunson (13 Years) 13 Yrs
Elgin Specialty Average (8.9 Years) 8.9 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
99285 Emergency department visit for life threatening or functioning severity
189 184 $1228.59 $154.79
99284 Emergency department visit with moderate level of medical decision making
71 71 $833.77 $106.73
99291 Critical care, first 30-74 minutes
25 25 $1621.72 $187.24

Medical Specialties & State Licenses

CMS Verified: 2025-11-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.004840

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 085004840

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IN 10002688A

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

NUCC Taxonomy Code: 363A00000X

State License WI 853623

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Carpenter

Counselor - Mental Health

NPI 1023650132
Dr. Algis Paulius , MD

Orthopaedic Surgery

NPI 1033499223

Doctor of Medicine (M.D.)

Jaclyn Mastrangeli

Nurse Practitioner - Family

NPI 1033676978
Dr. John Corcoran , MD

Emergency Medicine

NPI 1063070852

Doctor of Medicine (M.D.)

NPI 1063917144

Doctor of Medicine (M.D.)

Emma Cohen , MSW

Social Worker

NPI 1073183786

Master of Social Work

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address November 24, 2025

Registered at 6552 N OXFORD AVE, CHICAGO, IL 606311529 (Tel: 9413219790)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2025

Physician Assistant (License #085004840 in IL)

NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2017

Registered at 1425 N RANDALL RD, ELGIN, IL 601232300 (Tel: 8477429800)

📍
Updated Business Mailing Address September 14, 2017

Registered at 2300 N LINCOLN PARK W, APT 805, CHICAGO, IL 606143456 (Tel: 9413219790)

👤
Provider Name / Credentials Updated September 14, 2017

Recorded as JACK BRUNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Physician Assistant (License #085.004840 in IL)

NPI Profile Active October 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2013

Registered at 1425 N RANDALL RD, ELGIN, IL 601232300 (Tel: 8477429800)

📍
Updated Business Mailing Address October 10, 2013

Registered at 2300 N LINCOLN PARK W, APT 805, CHICAGO, IL 606143456 (Tel: 9413219790)

👤
Provider Name / Credentials Updated October 10, 2013

Recorded as JACK BRUNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2013

Physician Assistant (License #085004840 in IL)

🟢
Initial NPI Registration & Enumeration September 30, 2013

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: 1174950661
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2013
Last Update: November 24, 2025
Sole Proprietor: No

Mailing Address

6552 N Oxford Ave

Chicago, IL 606311529

Phone: 9413219790

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.