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Active NPI 1881673085 Individual Practitioner Male Practitioner

Douglas S Stevens , PA-C

Physician Assistant • Homer Glen, IL

Professional Overview & Biography Verified Profile Summary

Douglas Stevens, PA-C is a registered healthcare professional specializing in Physician Assistant in Homer Glen, IL. Practice services are available at 12701 W 143RD ST under active NPI credentials.

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, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12701 W 143rd St
Suite 200

Homer Glen, IL 604917715

Telephone 8776947722
Fax 8155310055
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Homer Glen, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Homer Glen, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
18 18 $1639.00 $139.67

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL IL085-001302

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 IL 085001302

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 State License Number
085001302 (IL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Christine Smith

Specialist/Technologist, Other - Surgical Technologist

NPI 1174953186
Dr. Krzysztof Siemionow , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1689841314

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2016

Registered at 12701 W 143RD ST, SUITE 200, HOMER GLEN, IL 604917715 (Tel: 8776947722)

📍
Updated Business Mailing Address November 07, 2016

Registered at 12701 W 143RD ST, SUITE 200, HOMER GLEN, IL 604917715 (Tel: 8776947722)

👤
Provider Name / Credentials Updated November 07, 2016

Recorded as DOUGLAS STEVENS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Physician Assistant (License #IL085-001302 in IL)

🟢
Initial NPI Registration & Enumeration January 16, 2006

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: 1881673085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2006
Last Update: November 07, 2016
Sole Proprietor: No

Mailing Address

12701 W 143rd St, Suite 200

Homer Glen, IL 604917715

Phone: 8776947722

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.