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James R. Mangerson, PA-C

NPI 1093078446ActiveIndividual· Physician Assistant· Peoria, IL

Physician Assistant (PA-C) with Prohealth Medical Group Inc and 1 other group, practicing in Peoria, Illinois. 59 Medicare patients in 2024, $5,192 paid; nearly all of their 281 Part D prescriptions were generic (98%). Innovative Medical Devices, Inc. was the largest of 3 companies reporting payments in 2025, $132.93 in all, mostly food and beverage. Lists Aspirus Wausau Hospital and 2 other hospitals as hospital affiliations.

Overview

NPI1093078446
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 20, 2012
Last updated in NPPESJan 27, 2025
Certified by providerJan 27, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X085010994IL
Physician Assistant363A00000X2956WI
Physician Assistant363A00000X50.008880RXOH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (OH); Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients59
Services billed88 across 18 procedure codes
Paid by Medicare$5,192

Part D prescriptions in 2024

Prescriptions (claims)281 · 477 30-day fills
Patients67
Total drug cost$6,021
Generic share98% of claims

Medicare sources and data years

Education and affiliations

Graduation year2012
Medicare specialtyPhysician Assistant

Medical groups

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$132.93 · 3 payments from 3 companies
  • 2024$14.99 · 1 payment from 1 company

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$132.93 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Peoria

All 102 physician assistants in Peoria · All physician assistants in Illinois