Jaclyn L. Mis, PAC
NPI 1073899548ActiveIndividual· Physician Assistant· Tinley Park, IL
Physician Assistant (PAC) with Dupage Medical Group Ltd, practicing in Tinley Park, Illinois. 182 Medicare patients in 2024, $16,389 paid; nearly all of their 240 Part D prescriptions were generic (94%). Lists Palos Community Hospital as a hospital affiliation.
Overview
| NPI | 1073899548 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Oct 28, 2011 |
| Last updated in NPPES | Jul 24, 2023 |
| Certified by provider | Jul 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085004190 | IL |
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 | 182 |
|---|---|
| Services billed | 262 across 37 procedure codes |
| Paid by Medicare | $16,389 |
Part D prescriptions in 2024
| Prescriptions (claims) | 240 · 278 30-day fills |
|---|---|
| Patients | 200 |
| Total drug cost | $1,907 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Dupage Medical Group LtdWinfield, IL · 1,322 clinicians
Hospital affiliation
- Palos Community HospitalPalos Heights, IL
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 22 physician assistants in Tinley Park · All physician assistants in Illinois