MR. JOHNNY B TERRY JR. PHYSICIAN ASSISTANT
NPI 1851629810
Physician Assistant in Winfield, IL

Q: What is Johnny Terry's NPI number?

The NPI number for Johnny Terry is 1851629810. It was assigned to this individual provider in the NPPES registry on December 2, 2009. The provider is also known as Mr. Johnny B Terry Pa-C.

Q: What is Johnny Terry'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 Johnny Terry was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 02, 2009PECOS EnrolledAccepts Medicare Assignment

25 N WINFIELD RD STE 201, WINFIELD, IL 60190(630) 933-4480 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Sep 4, 2024 (2 updates tracked since 2024).

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About Mr. Johnny B Terry Jr. Physician Assistant NPPES

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

MR. JOHNNY B TERRY JR. PHYSICIAN ASSISTANT (NPI 1851629810) is an individual physician assistant in Winfield, Illinois, licensed in Illinois (085006972) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851629810

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JOHNNY B TERRY JR.Credential: PHYSICIAN ASSISTANT

Location Address25 N WINFIELD RD STE 201Winfield, IL 60190-1379

Mailing Address25 N Winfield Rd Ste 201Winfield, IL 60190-1379 · (630) 933-4480

Phone(630) 933-4480

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 2, 2009

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1851629810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085006972

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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9106081 (FL)

25 N WINFIELD RD STE 201, Winfield, IL 60190

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Other Names 1

Professional Name (2)Mr. Johnny B Terry Pa-c

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

Mr. Johnny B Terry Jr. Physician Assistant 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 ID8729245238

PECOS Enrollment IDI20120210000037, I20251125004842

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

27 services27 patients

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

24 services24 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

19 services19 patients

Coronary artery bypass using vein or artery graft, 1 graft 33517

A coronary artery bypass is a surgical procedure that improves blood flow to the heart. A vein or artery from another part of your body is used to create a new route for blood to bypass a blocked coronary artery. This helps relieve chest pain and reduce heart attack risk.

13 services13 patients

Replacement of aortic valve on heart-lung machine 33405

The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 7

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

ALLISON FUMIYE KIGHTLY PA-C

Physician Assistant