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Active NPI 1497277263 Individual Practitioner Male Practitioner

Dr. Jonathan Roderick Dutt , MD

Internal Medicine • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Dutt, MD is a certified Internal Medicine practicing in Decatur, IL. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Dutt delivers high-quality medical care to the local community at 102 W KENWOOD AVE.

Dr. Dutt is affiliated with Board Of Trustees Of Southern Illinois University and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 W Kenwood Ave

Decatur, IL 625264368

Telephone 2175458000
Associated Practice Facility / Clinic
🏢 Decatur Memorial Hospital Facility NPI 1437246865

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Decatur, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -6.6 yrs vs City Avg
City Avg: 17.6 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Decatur, IL (7544 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dutt (11 Years) 11 Yrs
Decatur Specialty Average (17.6 Years) 17.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
94 25 $222.26 $76.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
39 34 $366.69 $126.76
99238 Hospital discharge day management, 30 minutes or less
30 26 $225.80 $77.92

Medical Specialties & State Licenses

CMS Verified: 2020-05-04
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-151311

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License IL 125.071354

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Board Of Trustees Of Southern Illinois University

520 N 4th St, Springfield, IL 627025238

Phone: 2175458000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 04, 2020

Registered at 102 W KENWOOD AVE, DECATUR, IL 625264368 (Tel: 2175458000)

📍
Updated Business Mailing Address May 04, 2020

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175457578)

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2017

Registered at 520 N 4TH ST, SPRINGFIELD, IL 627025238 (Tel: 2177578197)

📍
Updated Business Mailing Address July 12, 2017

Registered at 1306 DENISON DR APT B, SPRINGFIELD, IL 627044472 (Tel: 4044466610)

👤
Provider Name / Credentials Updated July 12, 2017

Recorded as JONATHAN DUTT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Family Medicine (License #125.071354 in IL)

🟢
Initial NPI Registration & Enumeration July 12, 2017

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: 1497277263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2017
Last Update: May 04, 2020
Sole Proprietor: No

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175457578

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.