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Active NPI 1750998704 Individual Practitioner Male Practitioner

Jacob Quinn , PA-C

Physician Assistant • Washington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Quinn, PA-C is a certified Physician Assistant practicing in Washington, IL. With approximately 4 years of clinical experience since completing medical education in 2022, Jacob Quinn delivers high-quality medical care to the local community at 104 SPRING HAVEN DR.

Jacob Quinn is affiliated with Soderstrom Dermatology Center S C and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, skin application of tar and ultraviolet b or petrolatum and ultraviolet b. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

104 Spring Haven Dr

Washington, IL 615719792

Telephone 3096482399

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Washington, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Washington, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Quinn (4 Years) 4 Yrs
Washington Specialty Average (4.0 Years) 4.0 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
17003 Destruction of precancer skin growth, 2-14 growths
252 42 $55.00 $5.18
99213 Established patient office or other outpatient visit, typically 15 minutes
182 166 $168.80 $73.40
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B
99 21 $265.00 $90.66
17000 Destruction of skin growth
69 56 $185.00 $45.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 50 $211.34 $104.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $424.00 $136.71
17110 Destruction of up to 14 skin growths
19 17 $250.00 $87.36
11102 Tangential biopsy of single skin lesion
17 17 $265.00 $76.88

Medical Specialties & State Licenses

CMS Verified: 2024-07-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.00912

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.

Preventive Medicine - Sports Medicine

NUCC Taxonomy Code: 2083S0010X

State License IL 096004052

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Hospital & Practice Group Affiliations

Soderstrom Dermatology Center S C

4909 N Glen Park Place Rd, Peoria, IL 616144676

Phone: 3096747546

Soderstrom Dermatology Center S C

2100 Jacobssen Dr, Normal, IL 617612499

Phone: 3092689980

Career & Practice History Timeline

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

11 Historical Events
👤
Provider Name / Credentials Updated July 30, 2024

Recorded as JACOB QUINN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2024

Preventive Medicine (License #096004052 in IL)

📍
Updated Practice Location March 26, 2024

Registered at 104 SPRING HAVEN DR, WASHINGTON, IL 615719792 (Tel: 3096482399)

📍
Updated Business Mailing Address March 26, 2024

Registered at 104 SPRING HAVEN DR, WASHINGTON, IL 615719792 (Tel: 3096482399)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2024

Physician Assistant (License #085.00912 in IL)

NPI Profile Active September 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2020

Registered at 1009 WELLINGTON DR, WASHINGTON, IL 615711378 (Tel: 3096482399)

📍
Updated Business Mailing Address September 24, 2020

Registered at 1009 WELLINGTON DR, WASHINGTON, IL 615711378 (Tel: 3096482399)

👤
Provider Name / Credentials Updated September 24, 2020

Recorded as JACOB QUINN, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Preventive Medicine (License #096004052 in IL)

🟢
Initial NPI Registration & Enumeration September 24, 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: 1750998704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2020
Last Update: July 30, 2024
Sole Proprietor: Yes

Mailing Address

104 Spring Haven Dr

Washington, IL 615719792

Phone: 3096482399

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.