Jack Michael Brunson, PA-C
NPI 1174950661ActiveIndividual· Physician Assistant· Elgin, IL
Physician Assistant (PA-C) in Elgin, Illinois, licensed in IL, IN and WI, with an NPI issued in September 2013. 289 Medicare patients in 2024, $35,491 paid; nearly all of their 171 Part D prescriptions were generic (95%). Lists Advocate Condell Medical Center as a hospital affiliation.
Overview
| NPI | 1174950661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 30, 2013 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085.004840 | IL |
| Physician Assistant, Medical | 363AM0700X | 085004840 | IL |
| Physician Assistant | 363A00000X | 10002688A | IN |
| Physician Assistant | 363A00000X | 853623 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 289 |
|---|---|
| Services billed | 327 across 28 procedure codes |
| Paid by Medicare | $35,491 |
Part D prescriptions in 2024
| Prescriptions (claims) | 171 · 171 30-day fills |
|---|---|
| Patients | 126 |
| Total drug cost | $2,723 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliation
- Advocate Condell Medical CenterLibertyville, 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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