Scott Alan Southerland, P.A.
NPI 1639492804ActiveIndividual· Physician Assistant· Winfield, IL
Physician Assistant (P.A.) with Northwestern Medical Faculty Foundation, practicing in Winfield, Illinois. Part D covered 142 prescriptions written in 2024, 96% of them generic. Lists Northwestern Medicine McHenry as a hospital affiliation.
Overview
| NPI | 1639492804 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Mar 2, 2010 |
| Last updated in NPPES | Feb 15, 2022 |
| Certified by provider | Feb 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085006027 | IL |
| Physician Assistant | 363A00000X | TA1704 | AL |
| Physician Assistant, Surgical | 363AS0400X | 695 | AL |
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); Practitioner - Physician Assistant (TN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 142 · 255 30-day fills |
|---|---|
| Patients | 31 |
| Total drug cost | $8,994 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliation
- Northwestern Medicine McHenryMcHenry, 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 32 physician assistants in Winfield · All physician assistants in Illinois