MATTHEW BRENNER-JEDWABNIK PA-C
NPI 1003487208
Physician Assistant in Chicago, IL

Q: What is Matthew Brenner-jedwabnik's NPI number?

The NPI number for Matthew Brenner-jedwabnik is 1003487208. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Q: What is Matthew Brenner-jedwabnik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 08, 2021PECOS EnrolledAccepts Medicare Assignment

1801 W TAYLOR ST, CHICAGO, IL 60612(847) 207-6228 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Jul 11, 2021 (2 updates tracked since 2021).

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About Matthew Brenner-jedwabnik Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW BRENNER-JEDWABNIK PA-C (NPI 1003487208) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085008342) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003487208

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMATTHEW BRENNER-JEDWABNIKCredential: PA-C

Location Address1801 W TAYLOR STChicago, IL 60612-4795

Mailing Address1801 W Taylor StChicago, IL 60612-4795

Phone(847) 207-6228

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 8, 2021

Last NPPES UpdateJune 26, 20242 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1003487208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085008342

Definition

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.

1801 W TAYLOR ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Brenner-jedwabnik Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173926433

PECOS Enrollment IDI20210723001025

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

56 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDUARDO FERNANDES MD, PHD

Surgery

1801 W TAYLOR ST, OCC-3F
CHICAGO, IL 60612

Cook County (312) 355-1493

DR. MELANI LIGHTER MD

Surgery

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 355-4300

JAMES STEVEN FEINBERG MD

Dermatology (Procedural Dermatology)

1801 W TAYLOR ST, 3E
CHICAGO, IL 60612

Cook County (312) 996-1193

MRS. KIMBERLY YORMARK MS, AGACNP

Nurse Practitioner (Acute Care)

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (866) 600-2273

DR. ANDERS MELLGREN MD

Colon & Rectal Surgery

1801 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612

Cook County (312) 355-4300

MILENA J. LYON M.D.

Dermatology

1801 W TAYLOR ST, SUITE 3E
CHICAGO, IL 60612

Cook County (312) 996-8666

MR. DANIEL ROBERT BAMRICK-FERNANDEZ MD, MBA

Dermatology

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 996-0106

PROF. VATSLA DADHWAL MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1801 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 413-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Brenner-jedwabnik's NPI number?

The NPI number for Matthew Brenner-jedwabnik is 1003487208. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Matthew Brenner-jedwabnik located?

Matthew Brenner-jedwabnik practices at 1801 W Taylor St, Chicago, IL 60612. The listed phone number is (847) 207-6228.

What is Matthew Brenner-jedwabnik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Brenner-jedwabnik enrolled in Medicare?

Yes. Matthew Brenner-jedwabnik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Matthew Brenner-jedwabnik affiliated with any hospitals?

According to CMS data, Matthew Brenner-jedwabnik is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Matthew Brenner-jedwabnik was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.