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Active NPI 1689923013 Individual Practitioner Male Practitioner

Jacob E Mefford , PA

Physician Assistant • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Jacob Mefford, PA is a registered healthcare professional specializing in Physician Assistant in Peoria, IL. Practice services are available at 221 NE GLEN OAK AVE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate 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

221 Ne Glen Oak Ave

Peoria, IL 616360001

Telephone 3096725522
Associated Practice Facility / Clinic
🏢 Heartland Home Health Care Facility NPI 1073594057

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.1% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
121 114 $1583.00 $147.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
105 87 $61.00 $7.15
99284 Emergency department visit with moderate level of medical decision making
62 59 $999.00 $100.38
99283 Emergency department visit with low level of medical decision making
46 44 $699.00 $52.91
99291 Critical care, first 30-74 minutes
13 13 $1661.00 $188.38

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085004403

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
Bryce Hamamoto

Student in an Organized Health Care Education/Training Program

NPI 1003751389
Kelsey Williams

Registered Nurse

NPI 1013843754
Dr. Waqas Ali , MD

Internal Medicine

NPI 1023094190

Doctor of Medicine (M.D.)

Anne Look , APN

Nurse Practitioner - Acute Care

NPI 1023262805

Advanced Practice Nurse

Dr. James Thomas , MD

Emergency Medicine

NPI 1043273592

Doctor of Medicine (M.D.)

Benjamin Cross , PA-C

Physician Assistant

NPI 1043995210

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 30, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2013

Registered at 221 NE GLEN OAK AVE, PEORIA, IL 616360001 (Tel: 3096725522)

📍
Updated Business Mailing Address January 30, 2013

Registered at DEPT 960347, OKLAHOMA CITY, OK 731960347 (Tel: 8006840062)

👤
Provider Name / Credentials Updated January 30, 2013

Recorded as JACOB MEFFORD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2013

Physician Assistant (License #085004403 in IL)

🟢
Initial NPI Registration & Enumeration August 30, 2012

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: 1689923013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2012
Last Update: January 30, 2013
Sole Proprietor: No

Mailing Address

Dept 960347

Oklahoma City, OK 731960347

Phone: 8006840062

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.