CHRISTIAN DENNIS MCCUSKER PA
NPI 1588405484
Physician Assistant in Rockford, IL

Q: What is Christian Mccusker's NPI number?

The NPI number for Christian Mccusker is 1588405484. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Christian Mccusker's specialty?

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

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment

1340 CHARLES ST STE 300, ROCKFORD, IL 61104(779) 696-5888 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Mar 25, 2026, Jun 4, 2024 (3 updates tracked since 2024).

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About Christian Dennis Mccusker Pa NPPES

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

CHRISTIAN DENNIS MCCUSKER PA (NPI 1588405484) is an individual physician assistant in Rockford, Illinois and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1588405484

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCHRISTIAN DENNIS MCCUSKERCredential: PA

Location Address1340 CHARLES ST STE 300Rockford, IL 61104-2200

Mailing Address5850 E Still CirMesa, AZ 85206-3618 · (847) 532-5891

Phone(779) 696-5888

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 4, 2024

Last NPPES UpdateMay 7, 20263 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1588405484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1340 CHARLES ST STE 300, Rockford, IL 61104

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Secondary Practice Location 1

Location 15850 E Still CirMesa, AZ 85206-3618 · Phone (847) 532-5891

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

Christian Dennis Mccusker Pa 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 ID547739906

PECOS Enrollment IDI20260514002443

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.

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KINJAL KRUNAL TRIVEDI MD

Internal Medicine (Interventional Cardiology)