2026 NPPES data Physician Assistant NPI 1013523620
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BRENDA CARBAJAL

Physician Assistant in BLUE ISLAND, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
206
Medicare Part D claims · 124 beneficiaries · Physician Assistant avg: 790
What the federal data reveals: BRENDA CARBAJAL is a Physician Assistant ([object Object]) practicing in BLUE ISLAND, Illinois with a Medicare Part D prescribing footprint of 206 claims across 124 beneficiaries .

What stands out: BRENDA CARBAJAL filed 206 Medicare Part D claims in 2023 across BLUE ISLAND, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

BRENDA CARBAJAL at a glance

Quality data not reported

NPI registry status

Active

Issued 09/18/2020

NPI 1013523620

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

206 74% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Illinois

How Physician Assistant compares to other specialties among Illinois providers

Illinois providers

Physician Assistant share within Illinois

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BRENDA CARBAJAL is a Physician Assistant provider practicing in BLUE ISLAND, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1013523620. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BRENDA CARBAJAL appears in the CMS NPPES registry as a Physician Assistant provider at 12200 WESTERN AVE, BLUE ISLAND, IL, 60406, with a listed phone of (708) 631-2781. NPI 1013523620 was issued on 09/18/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARBAJAL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 206 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

12200 WESTERN AVE
BLUE ISLAND, IL 60406

Provider Details

NPI 1013523620
Specialty Physician Assistant
Gender Female
NPI Issued 09/18/2020

Hospital and facility affiliations

Facilities where BRENDA CARBAJAL bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

OSF MULTI-SPECIALTY GROUP
PEORIA, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to BRENDA CARBAJAL. To verify BRENDA CARBAJAL's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

206
Total Claims
$2K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
213
Total Day Supply
2,399
Generic Drug Cost
$2K
Antibiotic Claims
91

Patient Demographics

Average Patient Age
65.5 years
Avg HCC Risk Score
1.03
Gender Split
78% female / 22% male
Age Distribution
<65: 36, 65-74: 63, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Azithromycin
37
Amoxicillin
17
Albuterol Sulfate Hfa
Albuterol Sulfate
16
Prednisone
16
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Cephalexin
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Physician Assistant Overview

How BRENDA CARBAJAL fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

BRENDA CARBAJAL's 206 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as CARBAJAL.

Compare Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRENDA CARBAJAL's specialty?
BRENDA CARBAJAL specializes in Physician Assistant and practices in BLUE ISLAND, Illinois.
How much does BRENDA CARBAJAL prescribe under Medicare Part D?
In 2023, BRENDA CARBAJAL wrote 206 Medicare Part D claims totaling $2K in drug costs for 124 beneficiaries.
Where is BRENDA CARBAJAL located?
BRENDA CARBAJAL is located at 12200 WESTERN AVE, BLUE ISLAND, IL, 60406. Phone: (708) 631-2781.
What is BRENDA CARBAJAL's NPI number?
BRENDA CARBAJAL's National Provider Identifier (NPI) is 1013523620, issued on 09/18/2020.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does BRENDA CARBAJAL prescribe most often?
Based on 2023 Medicare Part D data, BRENDA CARBAJAL's most frequently prescribed drugs include Azithromycin, Amoxicillin, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRENDA CARBAJAL accept Medicare?
BRENDA CARBAJAL appears in CMS Medicare data with 206 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRENDA CARBAJAL's credentials?
BRENDA CARBAJAL's NPI is 1013523620. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology