JESSE PAUL BUEZA PA-C
NPI 1700032067
Physician Assistant in Herrin, IL

Q: What is Jesse Bueza's NPI number?

The NPI number for Jesse Bueza is 1700032067. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Q: What is Jesse Bueza'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 Jesse Bueza was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment

405 RUSHING DR, HERRIN, IL 62948(618) 993-3300(618) 993-0262 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Sep 14, 2021, Jan 28, 2021 and 2 more (5 updates tracked since 2018).

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About Jesse Paul Bueza Pa-c NPPES

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

JESSE PAUL BUEZA PA-C (NPI 1700032067) is an individual physician assistant in Herrin, Illinois, licensed in Illinois (085003280) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700032067

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJESSE PAUL BUEZACredential: PA-C

Location Address405 RUSHING DRHerrin, IL 62948-3730

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 993-3300

Fax(618) 993-0262

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2008

Enumeration DateAugust 18, 2008

Last NPPES UpdateOctober 10, 20245 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1700032067 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 · 085003280

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.

405 RUSHING DR, Herrin, IL 62948

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Secondary Practice Locations 3

Location 1502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968 · Phone (618) 937-3400 · Fax (618) 997-9324

Location 22601 W Main StCarbondale, IL 62901-1031 · Phone (618) 549-5361

Location 3117 E Clark StHarrisburg, IL 62946-2702 · Phone (618) 252-8625 · Fax (618) 351-4859

Other Identifiers 4

Other10019630IL · Bcbs

Other47016IL · Health Alliance

Other334689IL · Healthlink

Other3600022001IL · Il Health Connect

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

Jesse Paul Bueza 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 ID1456360270

PECOS Enrollment IDI20081009000555

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.

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers30 claims79 services$6.04 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims18 services$1.06 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$16.85 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers18 claims18 services$88.97 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers12 claims12 services$24.06 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers14 claims14 services$200.20 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.

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