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Active NPI 1639492804 Individual Practitioner Male Practitioner

Scott Alan Southerland , PA

Physician Assistant • Winfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Southerland, PA is a certified Physician Assistant practicing in Winfield, IL. With approximately 17 years of clinical experience since completing medical education in 2009, Scott Southerland delivers high-quality medical care to the local community at 25 N WINFIELD RD.

Scott Southerland is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using artery graft, 1 graft, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 N Winfield Rd

Winfield, IL 601901379

Telephone 6302320280
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +4.2 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
28 Specialists

Practicing in Winfield, IL (4958 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Southerland (17 Years) 17 Yrs
Winfield Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
17 17 $27.00 $2.30
33533 Coronary artery bypass using artery graft, 1 graft
13 13 $3129.50 $261.02

Medical Specialties & State Licenses

CMS Verified: 2022-02-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085006027

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 AL TA1704

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 - Surgical

NUCC Taxonomy Code: 363AS0400X

State License AL 695

Definition to come...

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594323

Northwestern Medical Faculty Foundation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594800

Northwestern Medical Faculty Foundation

515 Valley View Dr, Moline, IL 612656175

Phone: 3126950870

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003271586

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Georgios Christopoulos , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1003294422

Doctor of Medicine (M.D.)

Dr. William Towne , MD

Internal Medicine - Interventional Cardiology

NPI 1003803552

Doctor of Medicine (M.D.)

Dr. Nauman Mushtaq , MD

Internal Medicine - Interventional Cardiology

NPI 1023037488

Doctor of Medicine (M.D.)

Susan Collazo , APRN, CNP

Nurse Practitioner

NPI 1043422819

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Sarah Hale , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1053843219

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 15, 2022

Registered at 25 N WINFIELD RD, WINFIELD, IL 601901379 (Tel: 6302320280)

📍
Updated Business Mailing Address February 15, 2022

Registered at 4683 MCGILL CT, HOOVER, AL 352266000 (Tel: 2053358688)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2022

Physician Assistant (License #TA1704 in AL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2021

Physician Assistant (License #085006027 in IL)

NPI Profile Active March 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2010

Registered at 817 PRINCETON AVE SW, SUITE 300, BIRMINGHAM, AL 352111333 (Tel: 2057808980)

📍
Updated Business Mailing Address March 02, 2010

Registered at 817 PRINCETON AVE SW, SUITE 300, BIRMINGHAM, AL 352111333 (Tel: 2057808980)

👤
Provider Name / Credentials Updated March 02, 2010

Recorded as SCOTT SOUTHERLAND, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2010

Physician Assistant (License #TA1704 in AL)

🟢
Initial NPI Registration & Enumeration March 02, 2010

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: 1639492804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2010
Last Update: February 15, 2022
Sole Proprietor: No

Mailing Address

4683 Mcgill Ct

Hoover, AL 352266000

Phone: 2053358688

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.