DR. JON ELLIOTT DALE BRUBAKER MD
NPI 1265062178
Internal Medicine in Scott Afb, IL

Q: What is Jon Elliott Brubaker's NPI number?

The NPI number for Jon Elliott Brubaker is 1265062178. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Q: What is Jon Elliott Brubaker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 20, 2020PECOS EnrolledAccepts Medicare Assignment

310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-9355(618) 256-7629 Get Directions Write a Review

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

Record update history: Jul 26, 2024, Apr 10, 2024, Jul 17, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Jon Elliott Dale Brubaker Md NPPES

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

DR. JON ELLIOTT DALE BRUBAKER MD (NPI 1265062178) is an individual internal medicine provider in Scott Afb, Illinois, licensed in Illinois (036.165622) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and maintains a secondary practice location in O Fallon.

NPPES Registry Identity

NPI1265062178

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JON ELLIOTT DALE BRUBAKERCredential: MD

Location Address310 W LOSEY STScott Afb, IL 62225-5250

Mailing Address310 W Losey StScott Afb, IL 62225-5250 · (618) 256-9355 · Fax (618) 256-7629

Phone(618) 256-9355

Fax(618) 256-7629

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2020

Enumeration DateJanuary 20, 2020

Last NPPES UpdateJuly 26, 20244 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1265062178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036.165622

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036.165622 (IL)

310 W LOSEY ST, Scott Afb, IL 62225

Open in Google Maps ↗

Secondary Practice Location 1

Location 13 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · Phone (618) 233-5480

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

Dr. Jon Elliott Dale Brubaker Md 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 ID1153752696

PECOS Enrollment IDI20231019003196

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 3

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 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.

68 services23 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

18 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62225 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

Most-billed visit code 99214

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. TODD ALAN SCHULTZ D.M.D.

Dentist (Oral and Maxillofacial Surgery)

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-7079

DAWN WILSON PT

Physical Therapist

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-6267

MR. SEAN J MCNAMARA RPH.

Pharmacist

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-6150

JESSICA SELENA PABON PHARMD.

Pharmacist

310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225

St. Clair County (618) 256-9355

DR. PATSY FRANCES KREMSREITER MD

Family Medicine

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-9355

JOAN FOMBOH TELAZIE-SIMONS RN

Registered Nurse

310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225

St. Clair County (618) 256-9355

DR. SARAH KATHERINE TURBUSH DDS

Dentist (Prosthodontics)

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-6667

DR. CASEY TIMMERMAN DO

Obstetrics & Gynecology

310 W LOSEY ST
SCOTT AFB, IL 62225

St. Clair County (618) 256-7669

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 Jon Elliott Brubaker's NPI number?

The NPI number for Jon Elliott Brubaker is 1265062178. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Where is Jon Elliott Brubaker located?

Jon Elliott Brubaker practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-9355.

What is Jon Elliott Brubaker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jon Elliott Brubaker enrolled in Medicare?

Yes. Jon Elliott Brubaker 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 Jon Elliott Brubaker affiliated with any hospitals?

According to CMS data, Jon Elliott Brubaker is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Jon Elliott Brubaker was last updated on July 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.