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Active NPI 1275598542 Individual Practitioner Male Practitioner

Dr. Robert Gibson Carney , MD

Dermatology • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Carney, MD is a registered healthcare professional specializing in Dermatology in Decatur, IL. Practice services are available at 1770 E LAKE SHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1770 E Lake Shore Dr
Suite #301

Decatur, IL 625213832

Telephone 2174292636
Fax 2174292687
Associated Practice Facility / Clinic
🏢 Decatur Healthcare Llc Facility NPI 1235107939

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Decatur, IL (673 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036-049753

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036049753 (IL)
Commercial Insurance / Payer ID Rr Medicare Provider
071128778 (IL)
Commercial Insurance / Payer ID Payer Id
00882 (IL)

Practice Associates & Co-Workers

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

18 Associated Practitioners
Dr. Ahmad Ahmad , MD

Internal Medicine

NPI 1053397018

Doctor of Medicine (M.D.)

Debra Charveron , LCPC

Counselor - Professional

NPI 1154549731

Licensed Clinical Professional Counselor

NPI 1235115155

Doctor of Medicine (M.D.)

Rebecca Birk , MA LCPC

Counselor - Professional

NPI 1235284464

MALCPC

Phyllis Mcpherron , APRN, FNP

Nurse Practitioner - Family

NPI 1265523773

Advanced Practice Registered Nurse, Family Nurse Practitioner

Jennifer Mundy , NP

Nurse Practitioner - Family

NPI 1265675490

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2011

Registered at 1770 E LAKE SHORE DR, SUITE #301, DECATUR, IL 625213832 (Tel: 2174292636)

📍
Updated Business Mailing Address January 08, 2011

Registered at 1770 E LAKE SHORE DR, SUITE #301, DECATUR, IL 625213832 (Tel: 2174292636)

👤
Provider Name / Credentials Updated January 08, 2011

Recorded as ROBERT CARNEY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2011

Dermatology (License #036-049753 in IL)

🟢
Initial NPI Registration & Enumeration April 19, 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: 1275598542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2006
Last Update: January 08, 2011
Sole Proprietor: Yes

Mailing Address

1770 E Lake Shore Dr, Suite #301

Decatur, IL 625213832

Phone: 2174292636

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.