Active NPI 1023096401 Individual Practitioner Male Practitioner

Dr. David Joseph Evelti , MD

Anesthesiology • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Evelti, MD is a certified Anesthesiology practicing in Decatur, IL. With approximately 33 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1993, Dr. Evelti delivers high-quality medical care to the local community at 2300 N EDWARD ST.

Dr. Evelti is affiliated with Associated Anesthesiologists Of Decatur and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2300 N Edward St

Decatur, IL 625264163

Telephone 2178768121

Associated Practice Facility / Clinic

🏢 Decatur Memorial Hospital Facility NPI 1609879097

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Decatur, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +2.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Decatur, IL (2670 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

96.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Evelti (33 Years) 33 Yrs

Decatur Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	100	99	$1556.10	$61.78
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	91	86	$1571.54	$65.29
00812 Anesthesia for exam of colon using an endoscope	49	49	$1152.86	$45.09
01922 Anesthesia for x-ray or radiation therapy	48	47	$2279.38	$94.99
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	39	38	$1879.23	$68.00
01402 Anesthesia for procedure for total knee joint replacement	35	35	$4590.00	$165.82
00910 Anesthesia for other procedure on urinary system through urethra	34	33	$1766.47	$64.80
00400 Anesthesia for procedure on skin of arms, legs, or trunk	30	29	$2051.00	$75.36
00813 Anesthesia for procedure on small and large bowel using an endoscope	30	30	$1960.00	$75.65
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	23	22	$2930.87	$109.38
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	21	21	$2520.00	$98.61
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	21	20	$3260.00	$124.36
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	20	20	$2656.50	$101.02
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	19	19	$3890.53	$141.53
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	18	18	$3686.67	$135.93
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	16	15	$1430.00	$58.99
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	16	16	$2401.88	$86.15
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	15	15	$2450.00	$88.14
01214 Anesthesia for total hip replacement	14	14	$4830.00	$175.34
00142 Anesthesia for lens surgery	13	12	$1647.69	$69.16
01638 Anesthesia for open or endoscopic total shoulder joint replacement	13	13	$5766.92	$200.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	101	101	$1483.71	$63.53
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	60	59	$1540.92	$67.35
00812 Anesthesia for exam of colon using an endoscope	54	54	$1218.61	$49.15
01402 Anesthesia for procedure for total knee joint replacement	43	42	$4362.21	$166.28
00142 Anesthesia for lens surgery	42	41	$1654.64	$67.27
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	36	36	$1833.61	$68.75
00813 Anesthesia for procedure on small and large bowel using an endoscope	33	33	$1907.12	$78.86
00400 Anesthesia for procedure on skin of arms, legs, or trunk	33	33	$2087.27	$78.05
01922 Anesthesia for x-ray or radiation therapy	26	25	$2538.85	$105.80
00910 Anesthesia for other procedure on urinary system through urethra	22	22	$1770.45	$67.22
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	21	21	$1396.00	$61.85
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	19	18	$2621.84	$96.90
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	18	17	$2778.89	$99.27
01214 Anesthesia for total hip replacement	18	18	$4646.67	$177.74
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	16	16	$3613.13	$131.62
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	16	15	$4394.69	$134.36
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	15	15	$3047.67	$117.48
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	11	11	$2795.45	$100.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	111	107	$1436.71	$69.27
00811 Anesthesia for procedure on large bowel using an endoscope	101	99	$1384.16	$63.98
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	82	82	$364.17	$30.49
00812 Anesthesia for exam of colon using an endoscope	62	62	$1134.27	$52.13
00142 Anesthesia for lens surgery	47	44	$1601.06	$72.18
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	44	44	$1283.59	$52.17
01402 Anesthesia for procedure for total knee joint replacement	44	44	$4096.02	$152.84
00910 Anesthesia for other procedure on urinary system through urethra	44	40	$1499.43	$64.77
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	32	31	$1732.03	$73.23
00813 Anesthesia for procedure on small and large bowel using an endoscope	30	30	$1835.00	$81.48
00400 Anesthesia for procedure on skin of arms, legs, or trunk	26	25	$2010.58	$86.29
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	24	23	$4356.25	$166.05
01922 Anesthesia for x-ray or radiation therapy	24	23	$2530.21	$108.20
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	23	23	$2481.52	$108.69
01638 Anesthesia for open or endoscopic total shoulder joint replacement	19	19	$4989.47	$195.35
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	18	18	$1454.00	$62.62
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	17	17	$2592.65	$111.41
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	16	16	$2164.06	$87.68
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	16	16	$2531.25	$103.90
01214 Anesthesia for total hip replacement	15	15	$4068.33	$168.94
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	13	13	$3313.46	$139.78
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	11	11	$2902.27	$143.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	80	80	$1292.00	$66.62
00142 Anesthesia for lens surgery	71	66	$1470.14	$72.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	71	71	$329.00	$31.39
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	52	50	$1360.00	$72.01
01402 Anesthesia for procedure for total knee joint replacement	38	37	$3726.58	$170.41
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	35	35	$1153.00	$53.78
00813 Anesthesia for procedure on small and large bowel using an endoscope	35	35	$1598.00	$83.39
00910 Anesthesia for other procedure on urinary system through urethra	33	31	$1426.97	$68.44
00812 Anesthesia for exam of colon using an endoscope	33	33	$1045.76	$52.27
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	28	28	$1318.00	$64.40
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	23	23	$1796.09	$84.01
00400 Anesthesia for procedure on skin of arms, legs, or trunk	22	21	$1676.82	$77.61
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	16	16	$1923.13	$89.24
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	15	15	$1858.67	$83.28
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	14	14	$2100.71	$101.40
01922 Anesthesia for x-ray or radiation therapy	13	13	$2210.00	$115.04
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	13	13	$3373.85	$141.53
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	12	12	$3215.83	$155.23
00670 Anesthesia for procedure on spine and spinal cord	11	11	$4790.91	$238.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	62	62	$320.00	$31.57
00811 Anesthesia for procedure on large bowel using an endoscope	50	50	$1312.50	$70.53
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	40	39	$1445.63	$74.39
00142 Anesthesia for lens surgery	40	39	$1421.50	$76.41
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	40	40	$1414.00	$79.03
01402 Anesthesia for procedure for total knee joint replacement	35	35	$3509.57	$166.24
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	32	32	$1120.00	$53.39
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	29	29	$3668.62	$172.23
00910 Anesthesia for other procedure on urinary system through urethra	23	23	$1439.35	$73.51
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	21	21	$2936.90	$151.49
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	20	20	$1896.00	$91.65
00812 Anesthesia for exam of colon using an endoscope	18	18	$963.33	$51.15
01922 Anesthesia for x-ray or radiation therapy	17	17	$2027.35	$110.50
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	17	$1667.06	$84.71
00813 Anesthesia for procedure on small and large bowel using an endoscope	17	17	$1677.06	$90.47
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	16	16	$2463.44	$119.02
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	16	16	$1280.00	$65.55
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	14	14	$2430.36	$123.89
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	14	14	$2872.50	$148.37
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	13	13	$3081.92	$150.31
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	13	13	$2103.46	$108.66
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	13	13	$1948.08	$98.09
00532 Anesthesia for central vein access	11	11	$1575.45	$83.30
01844 Anesthesia for placement or revision of blood flow shunt	11	11	$3668.64	$171.73
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	11	11	$2166.82	$112.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	141	127	$1113.73	$68.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	78	77	$314.36	$31.82
00811 Anesthesia for procedure on large bowel using an endoscope	77	76	$1217.73	$69.41
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	58	57	$1243.97	$72.75
00812 Anesthesia for exam of colon using an endoscope	46	46	$1004.22	$53.05
01402 Anesthesia for procedure for total knee joint replacement	38	38	$3466.58	$172.33
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	37	37	$1093.51	$67.89
00910 Anesthesia for other procedure on urinary system through urethra	29	29	$1319.66	$67.84
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	28	28	$1322.19	$71.48
00400 Anesthesia for procedure on skin of arms, legs, or trunk	28	27	$1598.91	$83.32
00914 Anesthesia for removal of prostate including use of an endoscope	24	24	$1723.75	$94.55
00813 Anesthesia for procedure on small and large bowel using an endoscope	24	24	$1514.93	$87.83
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	23	23	$2556.52	$118.17
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	22	22	$3201.36	$146.83
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	21	21	$2072.43	$110.36
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	19	19	$1263.16	$64.81
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	16	16	$2208.84	$105.00
36620 Insertion of artery tube for blood sampling or infusion through skin	15	15	$466.00	$45.48
01922 Anesthesia for x-ray or radiation therapy	14	14	$2187.86	$123.83
00670 Anesthesia for procedure on spine and spinal cord	14	14	$6138.57	$315.54
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	13	12	$1846.92	$98.16
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	13	13	$3015.38	$140.28
00532 Anesthesia for central vein access	13	13	$1399.17	$82.30
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	12	12	$3385.83	$166.60
01638 Anesthesia for open or endoscopic total shoulder joint replacement	11	11	$4160.91	$182.95
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	11	11	$1982.73	$109.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	72	66	$1095.83	$73.13
00811 Anesthesia for procedure on large bowel using an endoscope	62	62	$1049.19	$67.04
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	62	61	$262.90	$32.18
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	48	47	$1102.08	$74.40
00910 Anesthesia for other procedure on urinary system through urethra	47	46	$1173.22	$76.62
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	37	37	$917.57	$67.71
01402 Anesthesia for procedure for total knee joint replacement	29	29	$3146.55	$182.89
00400 Anesthesia for procedure on skin of arms, legs, or trunk	27	26	$1418.52	$84.68
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	26	26	$1975.59	$114.22
36620 Insertion of artery tube for blood sampling or infusion through skin	25	25	$408.00	$45.03
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	24	23	$1964.58	$114.32
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	24	24	$2683.33	$158.03
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	24	24	$1525.00	$91.39
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	23	22	$1043.48	$66.35
01922 Anesthesia for x-ray or radiation therapy	18	18	$1759.57	$123.25
00812 Anesthesia for exam of colon using an endoscope	18	18	$839.88	$55.22
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	17	17	$2332.76	$133.90
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	16	16	$2388.19	$143.43
01214 Anesthesia for total hip replacement	16	16	$3150.00	$200.00
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	15	15	$1780.00	$103.59
00813 Anesthesia for procedure on small and large bowel using an endoscope	14	14	$1485.71	$88.43
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	13	13	$1803.85	$119.00
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord	13	13	$1684.62	$103.30
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$1604.17	$79.42
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	12	11	$2533.33	$133.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope	88	86	$776.73	$78.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	67	67	$190.45	$32.07
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	64	63	$782.13	$76.65
00142 Anesthesia for lens surgery	63	59	$705.14	$70.04
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	45	45	$550.00	$67.23
01402 Anesthesia for procedure for total knee joint replacement	43	43	$2011.07	$181.24
00910 Anesthesia for other procedure on urinary system through urethra	38	37	$853.11	$77.30
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	33	33	$714.79	$66.73
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	30	30	$1701.20	$163.03
64415 Injection of anesthetic agent, brachial (arm) nerve bundle	22	22	$625.00	$65.88
36620 Insertion of artery tube for blood sampling or infusion through skin	21	21	$245.52	$52.06
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	17	17	$1625.18	$147.30
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	17	$981.41	$86.17
01830 Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand	14	14	$1142.29	$102.38
00320 Anesthesia for procedure on esophagus and neck, age 1 year or older	13	13	$1339.08	$131.39
00300 Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	11	11	$1154.55	$108.29
01230 Anesthesia for open procedure on upper two-thirds of thigh bone	11	11	$1802.55	$154.88
00902 Anesthesia for procedure on anus and rectum	11	11	$915.27	$95.36

Medical Specialties & State Licenses

CMS Verified: 2020-10-10

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License IL 036-095852

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036095852 (IL)

Commercial Insurance / Payer ID Bc Of Il

036095852 (IL)

Hospital & Practice Group Affiliations

Associated Anesthesiologists Of Decatur

2300 N Edward St, Decatur, IL 625264163

Phone: 2178768121

Secondary Practice Locations

1005 Broadway St

Quincy, IL 623012834

Phone: 2172238400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jason Grauer , APRN

Nurse Practitioner - Family

NPI 1003463225

Advanced Practice Registered Nurse

Lindsay Beery , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033366893

Certified Registered Nurse Anesthetist

Dr. Elvis Mensah , MD

Family Medicine

NPI 1063146173

Doctor of Medicine (M.D.)

Hayley Long

Occupational Therapy Assistant

NPI 1083392856

Dr. Sharon Bonds , MD

Pediatrics

NPI 1083612873

Doctor of Medicine (M.D.)

Linda Miller

Physical Therapist

NPI 1083757728

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2020

Anesthesiology (License #036-095852 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2300 N EDWARD ST, DECATUR, IL 625264163 (Tel: 2178768121)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 25137, DECATUR, IL 625255137 (Tel: 8008976169)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID EVELTI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology

🟢

Initial NPI Registration & Enumeration January 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023096401

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 05, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 25137

Decatur, IL 625255137

Phone: 8008976169

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.