Doctor profile · Federal record
Dr. Jaclyn Mis, PAC
Physician Assistant · Tinley Park, IL
- NPI 1073899548
- Accepts Medicare
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
17495 la Grange RD
Tinley Park, IL 604877581
(815) 416-6641 - Additional location
-
2320 High St
Blue Island, IL 604062426
(708) 388-5500
fax (708) 388-5672 - Mailing address
-
Po Box 713260
Chicago, IL 606771260
Credentials & registration
- NPI registered
- October 2011 — 15 yrs on file
- Profile last updated
- July 24, 2023
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Illinois #085004190
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1073899548. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
216
Distinct HCPCS
7
Medicare allowed
$16,461
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 51 | 42 | $50 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 38 | $71 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | 35 | $117 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 33 | 26 | $45 | |
49650 |
Repair of groin hernia using an endoscope | 22 | 22 | $71 | |
47563 |
Removal of gallbladder with x-ray study of bile ducts using an endoscope | 13 | 13 | $107 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $155 |
In context: peer comparison
Among 5 peers in Tinley Park Physician Assistant, average services per provider: 207. This provider delivers 1.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
148
Patients
132
Total drug cost
$1,232
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 93 | 89 | $475 |
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 44 | 43 | $681 |
| Famotidine | Generic | 11 | 0 | $76 |
Hospital affiliations
Frequently asked questions
What is Dr. Jaclyn Mis's medical specialty?
Dr. Jaclyn Mis practices Physician Assistant in Tinley Park, IL.
Where does Dr. Jaclyn Mis practice?
Dr. Jaclyn Mis practices at 17495 la Grange RD, Tinley Park, IL 604877581. Office phone: 8154166641.
What is Dr. Jaclyn Mis's NPI?
Dr. Jaclyn Mis's National Provider Identifier (NPI) is 1073899548, issued by NPPES.
Does Dr. Jaclyn Mis accept Medicare assignment?
Yes. Dr. Jaclyn Mis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Mis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.