DAVID DYLAN PATE PA-C
NPI 1912453895
Physician Assistant - Medical in Jacksonville, IL
About David Dylan Pate Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID DYLAN PATE PA-C (NPI 1912453895) is an individual medical provider in Jacksonville, Illinois, licensed in Illinois (085005952) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
David Dylan Pate 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILSarah D Culbertson Memorial Hospital
Critical Access Hospitals · Rushville, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Pate's NPI number?
The NPI number for David Pate is 1912453895. It was assigned to this individual provider in the NPPES registry on August 30, 2016.
Where is David Pate located?
David Pate practices at 15 Founders Ln Ste 100, Jacksonville, IL 62650. The listed phone number is (217) 243-0300.
What is David Pate's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is David Pate enrolled in Medicare?
Yes. David Pate is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is David Pate affiliated with any hospitals?
According to CMS data, David Pate is affiliated with Memorial Medical Center, Sarah D Culbertson Memorial Hospital and Jacksonville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for David Pate was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# David Dylan Pate, PA-C · NPI 1912453895
Medical physician in Jacksonville, Illinois. Individual provider, active in the CMS NPPES registry since August 30, 2016.
## Identity
- **NPI:** 1912453895 (Entity type: Individual)
- **Enumerated:** August 30, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085005952 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 FOUNDERS LN STE 100, Jacksonville, IL 62650-3924
- **Phone:** (217) 243-0300 · **Fax:** (217) 862-0202
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912453895) · Data from the CMS NPPES public registry.