Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700032067 Individual Practitioner Male Practitioner

Jesse Paul Bueza , PA-C

Physician Assistant • Herrin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jesse Bueza, PA-C is a certified Physician Assistant practicing in Herrin, IL. With approximately 18 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2008, Jesse Bueza delivers high-quality medical care to the local community at 405 RUSHING DR.

Jesse Bueza maintains professional affiliations with Southern Illinois Medical Services Nfp, Logan Primary Care Service Corp. and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 Rushing Dr

Herrin, IL 629483730

Telephone 6189933300
Fax 6189930262
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Herrin, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -1.8 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
28 Specialists

Practicing in Herrin, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bueza (18 Years) 18 Yrs
Herrin Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
13 13 $17.00 $3.41

Medical Specialties & State Licenses

CMS Verified: 2024-10-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085003280

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
10019630 (IL)
Commercial Insurance / Payer ID Health Alliance
47016 (IL)
Commercial Insurance / Payer ID Healthlink
334689 (IL)
Commercial Insurance / Payer ID Il Health Connect
3600022001 (IL)

Hospital & Practice Group Affiliations

Southern Illinois Medical Services Nfp

2601 W Main St, Carbondale, IL 629011031

Phone: 6185495361

Logan Primary Care Service Corp.

405 Rushing Dr, Herrin, IL 629483730

Southern Illinois Medical Services Nfp

405 Rushing Dr, Herrin, IL 629483730

Phone: 6189933300

Secondary Practice Locations

502 W Saint Louis St Ste 4

West Frankfort, IL 628961968

Phone: 6189373400

2601 W Main St

Carbondale, IL 629011031

Phone: 6185495361

117 E Clark St

Harrisburg, IL 629462702

Phone: 6182528625

Practice Associates & Co-Workers

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

28 Associated Practitioners
Kristin Francis , LCSW

Social Worker - Clinical

NPI 1013362227

Licensed Clinical Social Worker

Dr. Gowda Sharath , MD

Internal Medicine

NPI 1043466576

Doctor of Medicine (M.D.)

Dr. Sarah Lahud Cuadra , MD

Internal Medicine - Geriatric Medicine

NPI 1053042739

Doctor of Medicine (M.D.)

Lenora Levin

Social Worker - Clinical

NPI 1093227613
Leslie Hickman , NP

Nurse Practitioner

NPI 1184196883

Nurse Practitioner

NPI 1184731267

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address October 10, 2024

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

📍
Updated Practice Location September 18, 2018

Registered at 405 RUSHING DR, HERRIN, IL 629483730 (Tel: 6189933300)

📍
Updated Business Mailing Address September 18, 2018

Registered at 1239 E MAIN ST, CARBONDALE, IL 629013175 (Tel: 6184575200)

NPI Profile Active October 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2011

Registered at 502 W. ST. LOUIS, WEST FRANKFORT, IL 62896 (Tel: 6189933300)

📍
Updated Business Mailing Address October 27, 2011

Registered at PO BOX 1105, INDIANAPOLIS, IN 462061105 (Tel: 6185495361)

👤
Provider Name / Credentials Updated October 27, 2011

Recorded as JESSE BUEZA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Physician Assistant (License #085003280 in IL)

🟢
Initial NPI Registration & Enumeration August 18, 2008

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: 1700032067
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2008
Last Update: October 10, 2024
Sole Proprietor: No

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

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.