Bethany J. Mumbower, PA
NPI 1770890162ActiveIndividual· Physician Assistant· Springfield, IL
Physician Assistant (PA) with Springfield Clinic, LLP, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $142,648 for 1,980 claims, against $26,586 paid for services in 2024. Lists Memorial Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1770890162 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Sep 7, 2010 |
| Last updated in NPPES | Jun 18, 2020 |
| Certified by provider | Jun 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 085003839 | IL |
| Physician Assistant | 363A00000X | 10001491A | IN |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 568 across 33 procedure codes |
| Paid by Medicare | $26,586 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,980 · 4,055 30-day fills |
|---|---|
| Patients | 331 |
| Total drug cost | $142,648 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Springfield Clinic, LLPSpringfield, IL · 687 clinicians
Hospital affiliations
- Memorial Medical CenterSpringfield, IL
- St Johns HospitalSpringfield, 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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