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Deactivated NPI 1962474809 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan D Slater , DO

Emergency Medicine • Bloomington, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jonathan Slater has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 04, 2006
NPI Deactivation Date October 02, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Slater, DO was a registered Emergency Medicine practicing in Bloomington, IL. Throughout an active medical career spanning 14 years, Dr. Slater provided care at the practice location at 2705 DEGARMO DR until profile deactivation on 2020-10-02.

Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, emergency department visit for life threatening or functioning severity. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2705 Degarmo Dr

Bloomington, IL 617049177

Telephone 3098286047

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Bloomington, IL (3389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
59 57 $548.82 $117.02
99283 Emergency department visit with low level of medical decision making
43 43 $340.27 $61.18
99285 Emergency department visit for life threatening or functioning severity
38 36 $804.28 $175.40

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 336-033203

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2020

Record deactivated on October 02, 2020

NPI Profile Active October 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 18, 2010

Registered at 2705 DEGARMO DR, BLOOMINGTON, IL 617049177 (Tel: 3098286047)

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Updated Business Mailing Address October 18, 2010

Registered at 2705 DEGARMO DR, BLOOMINGTON, IL 617049177 (Tel: 3098286047)

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Provider Name / Credentials Updated October 18, 2010

Recorded as JONATHAN SLATER, DO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2010

Emergency Medicine (License #336-033203 in IL)

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Initial NPI Registration & Enumeration February 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962474809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2006
Last Update: October 18, 2010
Deactivation Date: October 02, 2020

Mailing Address

2705 Degarmo Dr

Bloomington, IL 617049177

Phone: 3098286047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.