KELLY L MAGOON PA
NPI 1811303217
Physician Assistant in Rockford, IL

Q: What is Kelly Magoon's NPI number?

The NPI number for Kelly Magoon is 1811303217. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Q: What is Kelly Magoon'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 Kelly Magoon was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 07, 2014PECOS EnrolledAccepts Medicare Assignment

1848 DAIMLER RD, ROCKFORD, IL 61112(815) 398-9100(815) 986-6770 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly L Magoon Pa NPPES

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

KELLY L MAGOON PA (NPI 1811303217) is an individual physician assistant in Rockford, Illinois and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811303217

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY L MAGOONCredential: PA

Location Address1848 DAIMLER RDRockford, IL 61112-1019

Mailing Address1848 Daimler RdRockford, IL 61112-1019 · (815) 398-9100 · Fax (815) 986-6770

Phone(815) 398-9100

Fax(815) 986-6770

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 7, 2014

✔ NPI 1811303217 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.

1848 DAIMLER RD, Rockford, IL 61112

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.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

Kelly L Magoon 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 ID6507085479

PECOS Enrollment IDI20140909000819

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

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.

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140239

Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61112 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 8

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

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