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JESSICA BROUGH
NPI 1356961908
Physician Assistant - Surgical in Springfield, IL

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
800 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Mar 13, 2023, Nov 4, 2020 and 2 more (5 updates tracked since 2020).

About Jessica Brough NPPES

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

JESSICA BROUGH (NPI 1356961908) is an individual surgical provider in Springfield, Illinois, licensed in Illinois (085008034) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2020).

NPPES Registry Identity

NPI1356961908
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJESSICA BROUGH
Location Address800 N 1ST STSpringfield, IL 62702-3778
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020
Enumeration DateApril 23, 2020
Last NPPES UpdateMay 1, 20235 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1356961908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085008034
Also ListedPhysician AssistantTaxonomy 363A00000X
800 N 1ST ST, Springfield, IL 62702
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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

Jessica Brough 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 ID3375956568
PECOS Enrollment IDI20210107000979
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.

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.
102 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services31 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims12 services$13.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KENDRA MILLER PTA
Physical Therapy Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
LAUREN NICOLE RAY PA-C
Physician Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
DAVID W PURVES PA
Physician Assistant (Surgical)
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
TRENTON L. WISEMAN DPT
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
ASHLEY N. REES APRN
Nurse Practitioner (Family)
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
ASHLEY R GOETZE PT, DPT
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
MICHAL KOLDA M.D.
Internal Medicine (Cardiovascular Disease)
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541
STEPHEN YULIANG CHEN DO
Internal Medicine (Interventional Cardiology)
800 N 1ST ST
SPRINGFIELD, IL 62702
Sangamon County (217) 528-7541

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 Jessica Brough's NPI number?

The NPI number for Jessica Brough is 1356961908. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Jessica Brough located?

Jessica Brough practices at 800 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Jessica Brough's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jessica Brough enrolled in Medicare?

Yes. Jessica Brough 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 Jessica Brough affiliated with any hospitals?

According to CMS data, Jessica Brough is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Brough was last updated on May 1, 2023. 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.