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JACOB MATTHEW VONDEBUR PA-C
NPI 1235023045
Physician Assistant in Springfield, IL

Active since June 05, 2025PECOS Enrolled
2303 HUNTINGTON RD, SPRINGFIELD, IL 62703(217) 303-4991 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob Matthew Vondebur Pa-c NPPES

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

JACOB MATTHEW VONDEBUR PA-C (NPI 1235023045) is an individual physician assistant in Springfield, Illinois, licensed in Illinois (085011450) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235023045
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB MATTHEW VONDEBURCredential: PA-C
Location Address2303 HUNTINGTON RDSpringfield, IL 62703-5009
Mailing Address2303 Huntington RdSpringfield, IL 62703-5009 · (217) 303-4991
Phone(217) 303-4991
Sole ProprietorYes
Enumeration DateJune 5, 2025
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1235023045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085011450
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2303 HUNTINGTON RD, Springfield, IL 62703
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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 (PECOS)

Jacob Matthew Vondebur Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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.

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 Jacob Vondebur's NPI number?

The NPI number for Jacob Vondebur is 1235023045. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Jacob Vondebur located?

Jacob Vondebur practices at 2303 Huntington Rd, Springfield, IL 62703. The listed phone number is (217) 303-4991.

What is Jacob Vondebur's specialty?

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

Is Jacob Vondebur enrolled in Medicare?

Yes. Jacob Vondebur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Vondebur was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.