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Deactivated NPI 1659462414 Deactivated / Inactive NPI Male Practitioner

Dr. Michael James Pace , MD

Emergency Medicine • Havana, 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. Michael Pace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2006
NPI Deactivation Date November 11, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pace, MD was a registered Emergency Medicine practicing in Havana, IL. Throughout an active medical career spanning 17 years, Dr. Pace provided care at the practice location at 615 N PROMENADE ST until profile deactivation on 2023-11-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

615 N Promenade St

Havana, IL 626441243

Telephone 3095434431
Fax 3095438556
Associated Practice Facility / Clinic
🏢 Mason Hospital District Facility NPI 1063478782

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Havana, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Havana, IL (3389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.7% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
159 156 $105.62 $68.15
36415 Insertion of needle into vein for collection of blood sample
24 23 $18.00 $2.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 18 $158.84 $100.71
81002 Urinalysis, manual test
12 12 $23.00 $3.43

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Sarah Knake , RN-CDE

Registered Nurse - Diabetes Educator

NPI 1235674946

RNCDE

Kenneth Bloyd , LCSW

Social Worker - Clinical

NPI 1295912343

Licensed Clinical Social Worker

Morgan Wiggs , RD, LDN, CDCES

Dietitian, Registered

NPI 1346882412

Registered Dietitian, Licensed Dietitian Nutritionist, Certified Diabetes Care and Education Specialist

Jennifer Snider , MS, CCC-SLP, L

Speech-Language Pathologist

NPI 1437414539

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), L

NPI 1710697743

Doctor of Pharmacy (Pharm.D.)

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 November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 615 N PROMENADE ST, HAVANA, IL 626441243 (Tel: 3095434431)

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Updated Business Mailing Address July 08, 2007

Registered at 14174 ROYAL OAKS DR, BLOOMINGTON, IL 617046923 (Tel: 3098289768)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL PACE, M.D.

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

Emergency Medicine

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Initial NPI Registration & Enumeration September 27, 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: 1659462414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Deactivation Date: November 11, 2023

Mailing Address

14174 Royal Oaks Dr

Bloomington, IL 617046923

Phone: 3098289768

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.