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MR. KEVIN L RAINEY PAC
NPI 1215042833
Physician Assistant in Herrin, IL

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948(618) 997-6800(618) 998-9124 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2022, Sep 19, 2022 (2 updates tracked since 2022).

About Mr. Kevin L Rainey Pac NPPES

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

MR. KEVIN L RAINEY PAC (NPI 1215042833) is an individual physician assistant in Herrin, Illinois, licensed in Illinois (085002094) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1215042833
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN L RAINEYCredential: PAC
Location Address510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SCHerrin, IL 62948
Mailing Address510 Lincoln Drive, Southern Orthopedic Associates ScHerrin, IL 62948 · (618) 997-6800 · Fax (618) 998-9124
Phone(618) 997-6800
Fax(618) 998-9124
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 21, 2006
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
✔ NPI 1215042833 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 · 085002094
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.
510 LINCOLN DRIVE, Herrin, IL 62948
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1901 S Commercial StHarrisburg, IL 62946-2640 · Phone (618) 993-3817
Location 22808 East Outer DriveMarion, IL 62959-6295 · Phone (618) 993-3817

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

Mr. Kevin L Rainey Pac 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 ID5890784326
PECOS Enrollment IDI20040510001338
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services156 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
62 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

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.

MR. JOHN W NUGENT PAC
Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Williamson County (618) 997-6800
DR. JOHN THOMAS DAVIS MD
Orthopaedic Surgery
510 LINCOLN DRIVE
HERRIN, IL 62948
Williamson County (618) 997-6800
DR. JAMES MICHAEL DAVIS MD
Orthopaedic Surgery
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Williamson County (618) 997-6800
DR. JOHN B WOOD MD
Orthopaedic Surgery
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Williamson County (618) 997-6800
DR. STEVEN D YOUNG MD
Orthopaedic Surgery
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Williamson County (618) 997-6800
MR. PHILLIP R ERTHALL PAC
Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Williamson County (618) 997-6800
MR. JEREMY DALE PALMER PAC
Physician Assistant
510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC
HERRIN, IL 62948
Williamson County (618) 997-6800
DANE MERRILL ELLIOTT PT
Physical Therapist
510 LINCOLN DRIVE
HERRIN, IL 62948
Williamson County (618) 997-6800

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 Kevin Rainey's NPI number?

The NPI number for Kevin Rainey is 1215042833. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Kevin Rainey located?

Kevin Rainey practices at 510 Lincoln Drive Southern Orthopedic Associates Sc, Herrin, IL 62948. The listed phone number is (618) 997-6800.

What is Kevin Rainey's specialty?

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

Is Kevin Rainey enrolled in Medicare?

Yes. Kevin Rainey 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.

When was this NPI record last updated?

The NPPES record for Kevin Rainey was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.