Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mauricio Junior Miranda , PA-C

Physician Assistant โ€ข Wauconda, IL

Active NPI 1982305462 Individual Practitioner Male Practitioner
Practice location in NPPES

431 W Liberty St
Wauconda, IL 600842452

Call 8475262151 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

431 W Liberty St

Wauconda, IL 600842452

Telephone 8475262151
Fax 8475262017
Organization at the Same NPPES Address or Phone
Family Medicine Specialists, Inc Facility NPI 1497079636

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

Medicare patients

22 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 $1,200 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 $761 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

1,591 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

$66,264 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.

Open Payments general payments, program year 2025

All general payments: $644.21 across 26 records.

By nature of payment

  • Food and Beverage: $644.21 across 26 records.

Reporting-company totals (3 largest of 11)

  • ZOLL Services LLC (A/K/A ZOLL LifeCor Corp): $155.44 across 8 records.
  • Abbott Laboratories: $145.40 across 3 records.
  • Corcept Therapeutics: $79.71 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 2025 (published June 30, 2026).

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, 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)

Mauricio Miranda 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 Mauricio Miranda 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 Wauconda 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 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 Wauconda have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% 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 Wauconda have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 95% of 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 Wauconda have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 75% of 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 Wauconda have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 75% 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 Wauconda have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Physician Assistant with a practice address in Wauconda, 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 Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

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

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 26 records totaling $644.21.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $102.70
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
ELIQUIS General $33.69
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $31.85
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN Access System General $31.71
Abbott Laboratories
Food and Beverage
In-kind items and services
CARDIOMEMS General $24.99
Alnylam Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ONPATTRO General $24.92
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $24.62
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $24.08
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $23.24
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $22.95
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $22.71
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $22.44
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $21.99
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $21.70
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $21.46
Bristol Myers Squibb Company
Food and Beverage
Cash or cash equivalent
ELIQUIS General $20.44
SCPHARMACEUTICALS INC.
Food and Beverage
In-kind items and services
FUROSCIX General $20.25
Amgen Inc.
Food and Beverage
In-kind items and services
REPATHA General $19.15
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $18.58
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $18.42
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $17.71
Amgen Inc.
Food and Beverage
In-kind items and services
Repatha General $16.89
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $16.72
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Food and Beverage
Cash or cash equivalent
LifeVest General $14.83
Esperion Therapeutics, Inc.
Food and Beverage
In-kind items and services
NEXLETOL General $14.00

(top 25 shown)

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 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
17 16 $80.00 $14.23
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
12 11 $170.00 $79.88

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
Metoprolol Succinate Metoprolol Succinate 87 6,785 $1,441.26 51
Atorvastatin Calcium Atorvastatin Calcium 85 6,369 $973.84 42
Nitroglycerin Nitroglycerin 51 1,152 $440.68 39
Losartan Potassium Losartan Potassium 47 3,750 $436.77 25
Lisinopril Lisinopril 46 4,080 $285.11 27
Carvedilol Carvedilol 44 2,742 $515.50 17
Amlodipine Besylate Amlodipine Besylate 40 3,550 $250.37 28
Furosemide Furosemide 33 2,421 $237.89 21
Isosorbide Mononitrate Er Isosorbide Mononitrate 27 1,932 $325.90 13
Metoprolol Tartrate Metoprolol Tartrate 25 1,596 $232.24 12
Hydralazine Hcl Hydralazine Hcl 23 1,865 $189.19 17
Entresto Sacubitril/Valsartan 22 996 $20,934.76 โ€”
Clopidogrel Clopidogrel Bisulfate 21 1,770 $216.31 11
Nifedipine Er Nifedipine 19 1,560 $419.77 โ€”
Eliquis Apixaban 19 1,140 $21,922.69 โ€”
Jardiance Empagliflozin 19 813 $15,910.24 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 13 583 $273.17 โ€”
Nebivolol Hcl Nebivolol Hcl 13 1,190 $1,109.51 โ€”
Hydrochlorothiazide Hydrochlorothiazide 12 1,020 $74.60 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 11 990 $74.68 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: 2023-09-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085009878

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

I20231101001978

Enrollment State Jurisdiction

IL

PECOS Control ID

3971959669

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.

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
Hazel Acacio , APNP

Nurse Practitioner

NPI 1205471679

Advanced Practice Nurse Prescriber

Dr. David Alengo , MD

Family Medicine

NPI 1356335996

Doctor of Medicine (M.D.)

Pamela Basas Malda , NP

Nurse Practitioner

NPI 1891238200

Nurse Practitioner

NPI 1689669293

Doctor of Medicine (M.D.)

Lady Bowennesheim

Nurse Practitioner - Family

NPI 1790175826
Megan Copeland , FNP

Nurse Practitioner - Family

NPI 1497587851

Family Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
๐Ÿ“
Updated Practice Location September 21, 2023

Registered at 431 W LIBERTY ST, WAUCONDA, IL 600842452 (Tel: 8475262151)

๐Ÿ“
Updated Business Mailing Address September 21, 2023

Registered at PO BOX 6037, WAUCONDA, IL 600846037 (Tel: 8475262151)

๐Ÿ‘ค
Provider Name / Credentials Updated September 21, 2023

Recorded as MAURICIO MIRANDA, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2023

Physician Assistant (license number reported to NPPES: IL 085009878)

โœ…
NPI Profile Active March 13, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 13, 2023

Registered at 507 NORTH 17TH STREET, MILWAUKEE, WI 53233 (Tel: 4142885688)

๐Ÿ“
Business Mailing Address (Initial Record) March 13, 2023

Registered at 507 NORTH 17TH STREET, MILWAUKEE, WI 53233

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 13, 2023

Recorded as MAURICIO MIRANDA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2023

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 13, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982305462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2023
Last Update: September 21, 2023
Sole Proprietor: Yes

Other Physician Assistants in Wauconda

Mailing Address

Po Box 6037

Wauconda, IL 600846037

Phone: 8475262151

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.