Jason Roach, PA-C
NPI 1104179795ActiveIndividual· Physician Assistant· Peoria, IL
Physician Assistant (PA-C) with Carle West Physician Group Inc and 1 other group, practicing in Peoria, Illinois. Part D covered 2,730 prescriptions written in 2024, 89% of them generic. Lists Carle Bromenn Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1104179795 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 19, 2012 |
| Last updated in NPPES | Oct 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085.004474 | 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) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 2,730 · 5,108 30-day fills |
|---|---|
| Patients | 234 |
| Total drug cost | $162,517 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Carle West Physician Group IncBloomington, IL · 271 clinicians
- Carle Eureka HospitalEureka, IL · 10 clinicians
Hospital affiliations
- Carle Bromenn Medical CenterNormal, IL
- Carle Eureka HospitalEureka, IL
- Carle Health Methodist HospitalPeoria, IL
- Saint Francis Medical CenterPeoria, IL
Other facilities
- Carle Home CareHome health agency · Champaign, 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 102 physician assistants in Peoria · All physician assistants in Illinois