Kelly A. Muscavitch, PA
NPI 1679963821ActiveIndividual· Physician Assistant· Lake Forest, IL
Physician Assistant (PA) with Northwestern Medical Faculty Foundation, practicing in Lake Forest, Illinois. Mostly services rather than prescriptions: Medicare paid $898.50 for 19 patients in 2024, with only 39 Part D claims. Lists Northwestern Lake Forest Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1679963821 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jan 27, 2015 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085005451 | 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 | 19 |
|---|---|
| Services billed | 20 across 3 procedure codes |
| Paid by Medicare | $898.50 |
Part D prescriptions in 2024
| Prescriptions (claims) | 39 · 45 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $155.76 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliations
- Northwestern Lake Forest HospitalLake Forest, IL
- Northwestern Medicine McHenryMcHenry, IL
- Northwestern Memorial HospitalChicago, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Lake Forest
- 1013508852
- 1023594777
- 1033501689
- 1043971849
- 1063036093
- 1154168664
- 1194370445
- 1245887256
- 1356753016
- 1386173235
- 1447763024
- 1538386149
All 69 physician assistants in Lake Forest · All physician assistants in Illinois