Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Vincent Macino , PA

Physician Assistant β€’ Mattoon, IL

Active NPI 1497291926 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1201 Wooddell Way Ste B
Mattoon, IL 619381014

Call 2172383000 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

1201 Wooddell Way Ste B

Mattoon, IL 619381014

Telephone 2172383000
Fax 2172383008
Other Listings in Public Data

CMS Doctors and Clinicians lists 5 distinct group names: Daniel Funsch Jr, M.D., P.C.; Dr Rebman Medical Pa; Ivy Medical Group Pllc and 2 more. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

30-day fills

87 standardized 30-day fills in 2021

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

$610 in 2021

The total cost of these prescriptions in 2021, 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, 2021.

Open Payments general payments, program year 2023

All general payments: $362.03 across 3 records.

By nature of payment

  • Food and Beverage: $362.03 across 3 records.

Reporting-company totals

  • Novo Nordisk Inc: $362.03 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Vincent Macino 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 Vincent Macino 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 Mattoon and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Vincent Macino are from 2021.

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

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

Telehealth indicator in Mattoon

10% of these 20 clinicians have the CMS telehealth indicator.

90% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2021), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $362.03.

Manufacturer Payment Nature Product Type Amount ($)
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $121.32
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $120.89
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $119.82

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D Β· Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 29 2,610 $610.09 β€”

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085008400

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NJ 25MP00899800

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL TPPA811

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES VA 0110010584

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.009240RX

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES CA 54322

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES PA MA066292

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 033144

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES KS 15-03032

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 8220-23

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TN 6289

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA101183

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IN 10005092A

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MO 2024049952

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MD C0009755

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.

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

I20260623001873

Enrollment State Jurisdiction

MS

PECOS Control ID

6002193232

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Dr Rebman Medical Pa

1150 W Dorothy Ln, Kettering, OH 454091305

Phone: 2127346621

Lumina Care Medical Nj Llc

25 E Lindsley Rd, Cedar Grove, NJ 070091023

Phone: 2127346621

Dr Rebman Medical Pa

136 Davis Ln, La Follette, TN 377663118

Phone: 2127346621

Daniel Funsch Jr, M.d., P.c.

1507 S Tuttle Ave, Sarasota, FL 342392608

Phone: 2127346621

Ivy Medical Group Pllc

100 Abbeyville Rd, Lancaster, PA 176034604

Phone: 2127346621

Ivy Medical Group Pllc

1150 W Dorothy Ln, Kettering, OH 454091305

Phone: 2127346621

Sarah Bush Lincoln Health Center

1201 Wooddell Way, Mattoon, IL 619381014

Phone: 2172383000

Ivy Medical Group Pllc

11 Dairy Ln, Fredericksburg, VA 224052663

Phone: 2127346621

Ivy Medical Group Pllc

710 Long Ridge Rd, Stamford, CT 069021226

Phone: 2127346621

Clinicians Sharing This Practice Address or Phone

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

9 listed
Damaris Age , PA-C

Physician Assistant

NPI 1023360294

Physician Assistant (Certified)

Michaela Frey , APRN

Nurse Practitioner - Family

NPI 1689410748

Advanced Practice Registered Nurse

Jessica Prince , NP

Nurse Practitioner - Family

NPI 1528349834

Nurse Practitioner

Kimberly Pruemer , APRN

Nurse Practitioner - Family

NPI 1760113138

Advanced Practice Registered Nurse

Lindsey Rahn , FNP

Nurse Practitioner - Family

NPI 1780434175

Family Nurse Practitioner

Eliza Smith , NP

Nurse Practitioner - Family

NPI 1972754000

Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location March 05, 2026

Registered at 1201 WOODDELL WAY STE B, MATTOON, IL 619381014 (Tel: 2172383000)

πŸ“
Updated Business Mailing Address March 05, 2026

Registered at 9225 HENNING LN, HENNEPIN, IL 613275026 (Tel: 7083692660)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Physician Assistant (license number reported to NPPES: NJ 25MP00899800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2025

Physician Assistant (license number reported to NPPES: IL 085008400)

πŸ“
Updated Practice Location October 18, 2021

Registered at 181 W MADISON ST STE 3825, CHICAGO, IL 606024500 (Tel: 4156586791)

βœ…
NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location March 27, 2017

Registered at 840 IRVING ST, SAN FRANCISCO, CA 941222311 (Tel: 4155906140)

πŸ“
Updated Business Mailing Address March 27, 2017

Registered at 840 IRVING ST, SAN FRANCISCO, CA 941222311 (Tel: 4155906140)

πŸ‘€
Provider Name / Credentials Updated March 27, 2017

Recorded as VINCENT MACINO, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Physician Assistant (license number reported to NPPES: CA 54322)

βœ…
NPI Profile Active January 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 08, 2017

Registered at 4948 S LUNA AVE, CHICAGO, IL 606381704 (Tel: 7083692660)

πŸ“
Business Mailing Address (Initial Record) January 08, 2017

Registered at 4948 S LUNA AVE, CHICAGO, IL 606381704 (Tel: 7083692660)

πŸ‘€
Provider Name / Credentials (Initial Record) January 08, 2017

Recorded as VINCENT MACINO, RRT, MPA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2017

Physician Assistant

🟒
Initial NPI Registration & Enumeration January 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497291926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2017
Last Update: March 05, 2026
Sole Proprietor: No

Other Physician Assistants in Mattoon

All Physician Assistants in Mattoon

Mailing Address

9225 Henning Ln

Hennepin, IL 613275026

Phone: 7083692660

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.