Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Keaton Lawson Wolf

Physician Assistant โ€ข Roscoe, IL

Active NPI 1497478242 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4282 E Rockton Rd
Roscoe, IL 610737420

Call 7796969000 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

4282 E Rockton Rd

Roscoe, IL 610737420

Telephone 7796969000
Organization at the Same NPPES Address or Phone
Swedishamerican Hospital Facility NPI 1386054062

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 Dubuque, IA. See the list

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

CMS Doctors and Clinicians lists 1 group name: Swedishamerican Hospital. 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

2023

Medicare patients

86 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $11,981 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $8,982 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 โ€“ by Provider and Service, 2024.

30-day fills

366 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

$1,305 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 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

2022

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Keaton Lawson Wolf 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 Keaton Lawson Wolf 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 Roscoe and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Too few clinicians listed under Physician Assistant in Roscoe have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Too few clinicians listed under Physician Assistant in Roscoe have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Too few clinicians listed under Physician Assistant in Roscoe have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Too few clinicians listed under Physician Assistant in Roscoe have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% 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.

Too few clinicians listed under Physician Assistant in Roscoe have Medicare Part D data for 2024 to compare.

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

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

Sources: CMS Medicare Physician & Other Practitioners (2024), 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 ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 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 โ€“ by Provider and Service data, 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
102 73 $40.00 $13.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
87 69 $240.40 $102.34
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
23 21 $161.40 $73.84

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 ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Methylprednisolone Methylprednisolone 25 150 $73.21 25
Gabapentin Gabapentin 23 1,215 $611.83 11
Atorvastatin Calcium Atorvastatin Calcium 21 1,890 $108.21 16
Azithromycin Azithromycin 20 100 $62.55 20
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 19 190 $106.04 19
Lisinopril Lisinopril 18 1,620 $48.27 14
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 17 147 $32.24 17
Prednisone Prednisone 16 120 $13.74 16
Amlodipine Besylate Amlodipine Besylate 16 1,380 $27.54 12
Tizanidine Hcl Tizanidine Hcl 15 370 $136.54 โ€”
Tamsulosin Hcl Tamsulosin Hcl 12 1,080 $15.09 โ€”
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 11 82 $70.00 โ€”

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: 2024-06-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

I20240213000874

Enrollment State Jurisdiction

IL

PECOS Control ID

4880037209

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

Swedishamerican Hospital

6824 Newburg Rd, Rockford, IL 611084330

Phone: 7796967610

Swedishamerican Hospital

4282 E Rockton Rd, Roscoe, IL 610737420

Phone: 7796969000

Swedishamerican Hospital

1700 Henry Luckow Ln, Belvidere, IL 610081702

Phone: 7796968650

Secondary Practice Locations

2000 University Ave

Dubuque, IA 520015050

Phone: 5635893000

Clinicians Sharing This Practice Address or Phone

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

8 listed
Dr. Gayle Crays , MD

Family Medicine

NPI 1134168586

Doctor of Medicine (M.D.)

NPI 1912550237

Doctor of Medicine (M.D.)

Vicki Foti , APN

Nurse Practitioner - Family

NPI 1548702954

Advanced Practice Nurse

NPI 1922395763

Doctor of Osteopathic Medicine (D.O.)

Dr. Tarek Harb , MD

Obstetrics & Gynecology

NPI 1598701088

Doctor of Medicine (M.D.)

Jordan Hendricks , FNP-BC

Nurse Practitioner - Family

NPI 1225785991

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

7 Historical Events
๐Ÿ“
Updated Practice Location June 10, 2024

Registered at 4282 E ROCKTON RD, ROSCOE, IL 610737420 (Tel: 7796969000)

โœ…
NPI Profile Active September 26, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 26, 2022

Registered at 2000 UNIVERSITY AVE, DUBUQUE, IA 520015050 (Tel: 5635893000)

๐Ÿ“
Business Mailing Address (Initial Record) September 26, 2022

Registered at 2000 UNIVERSITY AVE, DUBUQUE, IA 520015050

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 26, 2022

Recorded as KEATON LAWSON WOLF

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2022

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration September 26, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497478242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2022
Last Update: June 10, 2024
Sole Proprietor: No

Mailing Address

2000 University Ave

Dubuque, IA 520015050

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.