Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

James R Mangerson , PA-C

Physician Assistant • Peoria, IL

Active NPI 1093078446 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

515 Ne Glen Oak Ave Ste 202
Peoria, IL 616033166

Call 3096244455 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

515 Ne Glen Oak Ave Ste 202

Peoria, IL 616033166

Telephone 3096244455
Fax 3096243457
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Kettering, OH; Waukesha, WI. See the list

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

CMS Doctors and Clinicians lists 3 distinct group names: Aspirus Medical Group, Inc.; Osf Multi-Specialty Group; Prohealth Medical Group Inc. 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

2012

Medicare patients

59 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $4,584 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $3,300 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

335 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

$1,347 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.

Open Payments general payments, program year 2025

All general payments: $132.93 across 3 records.

By nature of payment

  • Food and Beverage: $132.93 across 3 records.

Reporting-company totals

  • Innovative Medical Devices, Inc.: $90.34 across 1 record.
  • Boston Scientific Corporation: $21.43 across 1 record.
  • Medtronic, Inc.: $21.16 across 1 record.

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 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 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

2012

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, “Does 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)

James Mangerson 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 James Mangerson 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 Peoria and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Peoria, IL (2024, 49 clinicians with data). Median for this group: 304. Middle half: 81 to 847.

Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Illinois (2024, 2,433 clinicians with data). Median for this group: 211. Middle half: 76 to 542.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Peoria, IL (2024, 49 clinicians with data). Median for this group: $21,051. Middle half: $8,537 to $36,526.

A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Illinois (2024, 2,433 clinicians with data). Median for this group: $16,553. Middle half: $6,649 to $35,676.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Peoria, IL (2024, 49 clinicians with data). Median for this group: $14,870. Middle half: $6,627 to $26,244.

A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Illinois (2024, 2,433 clinicians with data). Median for this group: $12,340. Middle half: $4,894 to $26,317.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Peoria, IL (2024, 54 clinicians with data). Median for this group: 295. Middle half: 148 to 857.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,676 clinicians with data). Median for this group: 201. Middle half: 67 to 589.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Peoria, IL (2024, 54 clinicians with data). Median for this group: $10,650. Middle half: $1,448 to $66,417.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,676 clinicians with data). Median for this group: $2,942. Middle half: $542 to $47,207.

102 active clinicians are listed under Physician Assistant with a practice address in Peoria, IL (5,090 in Illinois).

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

Telehealth indicator in Peoria

9.8% of these 102 clinicians have the CMS telehealth indicator.

61.8% of these 102 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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 · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $132.93.

Manufacturer Payment Nature Product Type Amount ($)
Innovative Medical Devices, Inc.
Food and Beverage
Cash or cash equivalent
— General $90.34
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN Access System General $21.43
Medtronic, Inc.
Food and Beverage
In-kind items and services
COREVALVE EVOLUT R General $21.16

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
21 20 $243.57 $70.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
20 15 $295.75 $60.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
14 14 $691.71 $136.13

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

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

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Potassium Chloride Potassium Chloride 26 364 $87.28 20
Tramadol Hcl Tramadol Hcl 24 121 $85.48 22
Metoprolol Succinate Metoprolol Succinate 23 1,830 $319.39 14
Methocarbamol Methocarbamol 22 155 $138.56 19
Atorvastatin Calcium Atorvastatin Calcium 21 1,430 $187.09 —
Pantoprazole Sodium Pantoprazole Sodium 21 870 $116.28 19
Clopidogrel Clopidogrel Bisulfate 20 1,620 $171.99 17
Furosemide Furosemide 19 268 $31.65 14
Amiodarone Hcl Amiodarone Hcl 17 1,086 $126.92 12
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 59 $82.33 —

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: 2025-01-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085010994

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 2956

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 50.008880RX

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

I20120821000668

Enrollment State Jurisdiction

WI

PECOS Control ID

5799932083

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

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Prohealth Medical Group Inc

2750 Golf Rd, Delafield, WI 530182062

Phone: 2629284900

Prohealth Medical Group Inc

S69w15472 Janesville Rd, Muskego, WI 531509330

Phone: 2629287000

Aspirus Medical Group, Inc.

4005 Community Ctr Dr, Weston, WI 544764139

Phone: 7152415400

Prohealth Medical Group Inc

N17w24100 Riverwood Dr, Waukesha, WI 531881127

Phone: 2629284704

Prohealth Medical Group Inc

725 American Ave, Waukesha, WI 531885031

Phone: 2629281000

Aspirus Medical Group, Inc.

425 Pine Ridge Blvd, Wausau, WI 544014123

Secondary Practice Locations

721 American Ave, Suite 510

Waukesha, WI 531885071

Phone: 2629285300

3533 Southern Blvd Ste 5650

Kettering, OH 454291263

Phone: 9372943611

Clinicians Sharing This Practice Address or Phone

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

1 listed
Sara Smith , AGACNP

Nurse Practitioner - Acute Care

NPI 1073015319

Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 27, 2025

Registered at 515 NE GLEN OAK AVE STE 202, PEORIA, IL 616033166 (Tel: 3096244455)

📍
Updated Business Mailing Address January 27, 2025

Registered at 515 NE GLEN OAK AVE STE 202, PEORIA, IL 616033166 (Tel: 3096244455)

🏢
Secondary Practice Location Registered January 27, 2025

Additional practice office at 3533 Southern Blvd Ste 5650, Kettering, OH 454291263

🏢
Secondary Practice Location Registered January 27, 2025

Additional practice office at 721 American Ave, Suite 510, Waukesha, WI 531885071

👤
Provider Name / Credentials Updated January 27, 2025

Recorded as JAMES MANGERSON, PA-C

âś…
NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) October 17, 2014

Registered at 721 AMERICAN AVE, SUITE 510, WAUKESHA, WI 531885071 (Tel: 2629285300)

📍
Business Mailing Address (Initial Record) October 17, 2014

Registered at 721 AMERICAN AVE, SUITE 510, WAUKESHA, WI 531885071 (Tel: 2629285300)

👤
Provider Name / Credentials (Initial Record) October 17, 2014

Recorded as JAMES MANGERSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Physician Assistant (license number reported to NPPES: WI 2956)

🟢
Initial NPI Registration & Enumeration June 20, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093078446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2012
Last Update: January 27, 2025
Sole Proprietor: No

Other Physician Assistants in Peoria

All Physician Assistants in Peoria

Mailing Address

515 Ne Glen Oak Ave Ste 202

Peoria, IL 616033166

Phone: 3096244455

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.