BRENNAN T REEDER PA-C
NPI 1063991958
Physician Assistant in Rockford, IL

Active since August 10, 2018PECOS EnrolledAccepts Medicare Assignment
1200 W STATE ST, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2019, Sep 13, 2019, Aug 10, 2018 (3 updates tracked since 2018).

About Brennan T Reeder Pa-c NPPES

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

BRENNAN T REEDER PA-C (NPI 1063991958) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085007247) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063991958
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENNAN T REEDERCredential: PA-C
Location Address1200 W STATE STRockford, IL 61102-2112
Mailing Address1200 West State StreetRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 815-1881
Fax(815) 490-1881
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 10, 2018
Last NPPES UpdateSeptember 17, 20193 updates tracked since enumeration
NPI 1063991958 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 · 085007247
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.

1200 W STATE ST, Rockford, IL 61102

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

Brennan T Reeder 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 ID9436582673
PECOS Enrollment IDI20231013000195
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.

Hospital Affiliations CMS Care Compare 3

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102
Family Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Internal Medicine
1200 W STATE ST
ROCKFORD, IL 61102
Pediatrics
1200 W STATE ST
ROCKFORD, IL 61102
Social Worker
1200 W STATE ST
ROCKFORD, IL 61102
Obstetrics & Gynecology
1200 W STATE ST
ROCKFORD, IL 61102
Advanced Practice Midwife
1200 W STATE ST
ROCKFORD, IL 61102
Nurse Practitioner (Family)
1200 W STATE ST
ROCKFORD, IL 61102

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 Brennan Reeder's NPI number?

The NPI number for Brennan Reeder is 1063991958. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Brennan Reeder located?

Brennan Reeder practices at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.

What is Brennan Reeder's specialty?

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

Is Brennan Reeder enrolled in Medicare?

Yes. Brennan Reeder 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 Brennan Reeder affiliated with any hospitals?

According to CMS data, Brennan Reeder is affiliated with Osf Saint Elizabeth Mdl Ctr, Osf Saint Paul Medical Center and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Brennan Reeder was last updated on September 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.