Jacob Tyler Pike, PA-C
NPI 1063109627ActiveIndividual· Physician Assistant· Evanston, IL
Physician Assistant (PA-C) in Evanston, Illinois, licensed in IL, with an NPI issued in April 2023. 24 Medicare patients in 2024, $1,196 paid; nearly all of their 76 Part D prescriptions were generic (91%).
Overview
| NPI | 1063109627 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 24, 2023 |
| Last updated in NPPES | Aug 29, 2023 |
| Certified by provider | Aug 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085009824 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 24 |
|---|---|
| Services billed | 26 across 12 procedure codes |
| Paid by Medicare | $1,196 |
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 86 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $1,392 |
| Generic share | 91% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 80 physician assistants in Evanston · All physician assistants in Illinois