JASON M DOETCH PA-C
NPI 1386992436
Physician Assistant in Rockford, IL

Q: What is Jason Doetch's NPI number?

The NPI number for Jason Doetch is 1386992436. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Q: What is Jason Doetch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jason Doetch was last updated on January 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 21, 2012PECOS EnrolledAccepts Medicare Assignment

5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 381-7436(815) 381-7333 Get Directions Write a Review

NPPES record last updated: January 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jason M Doetch Pa-c NPPES

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

JASON M DOETCH PA-C (NPI 1386992436) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085.004387) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1386992436

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJASON M DOETCHCredential: PA-C

Location Address5875 E RIVERSIDE BLVDRockford, IL 61114-4937

Mailing AddressBox 78534Milwaukee, WI 53278-8534 · (815) 398-9491 · Fax (815) 381-7498

Phone(815) 381-7436

Fax(815) 381-7333

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 21, 2012

Last NPPES UpdateJanuary 12, 2018

✔ NPI 1386992436 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 · 085.004387

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.

5875 E RIVERSIDE BLVD, Rockford, IL 61114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Jason M Doetch 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 ID6800046491

PECOS Enrollment IDI20121024000417

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 5

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.

53 services53 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.

16 services16 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.

14 services14 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

12 services12 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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.

DR. LIZA A DAFCHAHI SHIRANI MD

Anesthesiology