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Active NPI 1720619232 Individual Practitioner Male Practitioner

Jacob Blasingame , PA-C

Physician Assistant • Monticello, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Blasingame, PA-C is a certified Physician Assistant practicing in Monticello, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Jacob Blasingame delivers high-quality medical care to the local community at 1000 MEDICAL CENTER DR.

Jacob Blasingame is affiliated with Kirby Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, 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

1000 Medical Center Dr

Monticello, IL 618562116

Telephone 2177626241
Fax 2177621702
Associated Practice Facility / Clinic
🏢 Kirby Medical Center Facility NPI 1730179847

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Monticello, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -6.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Monticello, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blasingame (7 Years) 7 Yrs
Monticello Specialty Average (13.0 Years) 13.0 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
99221 Initial hospital inpatient care per day, typically 30 minutes
85 84 $500.00 $68.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
24 24 $650.00 $107.90

Medical Specialties & State Licenses

CMS Verified: 2024-12-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085007530

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

Kirby Medical Center

1000 Medical Ctr Dr, Monticello, IL 618562116

Kirby Medical Center

1000 Medical Ctr Dr, Monticello, IL 618562116

Phone: 2177621540

Practice Associates & Co-Workers

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

25 Associated Practitioners
Lauren Coovert , PA-C

Physician Assistant

NPI 1043251846

Physician Assistant (Certified)

Laci Rascher , FNP

Nurse Practitioner - Family

NPI 1083057368

Family Nurse Practitioner

Jennifer Oyler , PA-C

Physician Assistant

NPI 1104325091

Physician Assistant (Certified)

Dr. Alina Paul , MD

Family Medicine

NPI 1225182702

Doctor of Medicine (M.D.)

Kristie Krigbaum

Social Worker - Clinical

NPI 1245836147
Lindsey Schreiber , PA

Physician Assistant

NPI 1255982674

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 13, 2024

Registered at 1000 MEDICAL CENTER DR, MONTICELLO, IL 618562116 (Tel: 2177626241)

📍
Updated Business Mailing Address December 13, 2024

Registered at 1000 MEDICAL CENTER DR, MONTICELLO, IL 618562116 (Tel: 2177622115)

NPI Profile Active February 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2020

Registered at 2300 S 1ST ST, CHAMPAIGN, IL 618207661 (Tel: 2173839400)

📍
Updated Business Mailing Address February 03, 2020

Registered at 108 BURWASH AVE APT B, SAVOY, IL 618748700

👤
Provider Name / Credentials Updated February 03, 2020

Recorded as JACOB BLASINGAME, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2020

Physician Assistant (License #085007530 in IL)

🟢
Initial NPI Registration & Enumeration February 03, 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: 1720619232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2020
Last Update: December 13, 2024
Sole Proprietor: No

Mailing Address

1000 Medical Center Dr

Monticello, IL 618562116

Phone: 2177622115

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.