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Jacob Tyler Pike , PA-C

Physician Assistant β€’ Evanston, IL

Active NPI 1063109627 Individual Practitioner Male Practitioner
Practice location in NPPES

2650 Ridge Ave
Evanston, IL 602011700

Call 8475257451 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475257451
Organization at the Same NPPES Address or Phone
Endeavor Health Clinical Operations Facility NPI 1184670549

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Lake Bluff, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

11 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$56 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jacob Pike has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jacob Pike as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Evanston and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant in Evanston, IL (2024, 28 clinicians with data). Median for this group: 67. Middle half: 29 to 134.

Fewer Part D prescriptions than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Evanston, IL (2024, 28 clinicians with data). Median for this group: $514. Middle half: $293 to $1,267.

A lower Part D drug cost than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

77 active clinicians are listed under Physician Assistant with a practice address in Evanston, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Evanston

16.9% of these 77 clinicians have the CMS telehealth indicator.

44.2% of these 77 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 11 69 $56.06 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085009824

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230919001577

Enrollment State Jurisdiction

IL

PECOS Control ID

4688038078

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

29681 N Waukegan Rd Apt 204

Lake Bluff, IL 600445482

Phone: 8475257451

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Kyle Ackerman , MD

Emergency Medicine

NPI 1477170199

Doctor of Medicine (M.D.)

Dr. Isaac Agboola , MD

Emergency Medicine

NPI 1073018289

Doctor of Medicine (M.D.)

Dr. Meghana Agni , MD

Pathology - Dermatopathology

NPI 1417419243

Doctor of Medicine (M.D.)

Elizabeth Ahlgrimm , PA-C

Physician Assistant - Surgical

NPI 1518376680

Physician Assistant (Certified)

Dr. Alex Alanis , MD

Emergency Medicine

NPI 1326533662

Doctor of Medicine (M.D.)

NPI 1154508547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 29, 2023

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475257451)

πŸ“
Updated Business Mailing Address August 29, 2023

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475257451)

πŸ‘€
Provider Name / Credentials Updated August 29, 2023

Recorded as JACOB PIKE, PA-C

βœ…
NPI Profile Active April 30, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 30, 2023

Registered at 29681 N WAUKEGAN RD APT 204, LAKE BLUFF, IL 600445482 (Tel: 8475257451)

πŸ“
Business Mailing Address (Initial Record) April 30, 2023

Registered at 29681 N WAUKEGAN RD APT 204, LAKE BLUFF, IL 600445482 (Tel: 8475257451)

πŸ‘€
Provider Name / Credentials (Initial Record) April 30, 2023

Recorded as JACOB PIKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 24, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1063109627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2023
Last Update: August 29, 2023
Sole Proprietor: No

Other Physician Assistants in Evanston

All Physician Assistants in Evanston

More public profiles in Illinois

Directory navigation, in NPI number order.

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8475257451

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.