Active NPI 1720072143 Individual Practitioner Male Practitioner

Dr. Stonewall Mccuiston , MD

Pediatrics • Kankakee, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stonewall Mccuiston, MD is a certified Pediatrics practicing in Kankakee, IL. With approximately 41 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 1985, Dr. Mccuiston delivers high-quality medical care to the local community at 375 N WALL ST STE P310.

Dr. Mccuiston is affiliated with Riverside Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

375 N Wall St Ste P310

Kankakee, IL 609013484

Telephone 8159330194

Fax 8159363847

Associated Practice Facility / Clinic

🏢 Med Peds Associates Facility NPI 1649353970

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kankakee, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +4.0 yrs vs City Avg

City Avg: 37.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Kankakee, IL (3277 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccuiston (41 Years) 41 Yrs

Kankakee Specialty Average (37.0 Years) 37.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	38	$205.00	$122.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$225.00	$123.25
82962 Blood glucose (sugar) test performed by hand-held instrument	20	13	$17.00	$3.21
83036 Hemoglobin A1C level	19	12	$53.00	$9.52
G0008 Administration of influenza virus vaccine	17	17	$52.00	$31.15
90662 Influenza vaccine split virus, preservative free	13	13	$97.00	$81.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	40	$198.00	$124.87
82962 Blood glucose (sugar) test performed by hand-held instrument	39	18	$17.00	$3.21
83036 Hemoglobin A1C level	32	17	$51.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$217.00	$126.28
G0008 Administration of influenza virus vaccine	19	17	$50.00	$32.05
90662 Influenza vaccine split virus, preservative free	13	11	$92.00	$71.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	53	$198.00	$125.78
82962 Blood glucose (sugar) test performed by hand-held instrument	46	20	$17.00	$3.24
83036 Hemoglobin A1C level	36	20	$51.00	$9.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$217.00	$128.59
G0008 Administration of influenza virus vaccine	25	24	$50.00	$31.12
90662 Influenza vaccine split virus, preservative free	21	20	$92.00	$68.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	58	$198.00	$128.51
82962 Blood glucose (sugar) test performed by hand-held instrument	50	24	$17.00	$3.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$203.70	$131.31
G0008 Administration of influenza virus vaccine	25	25	$50.00	$17.98
83036 Hemoglobin A1C level	24	17	$51.00	$9.71
90662 Influenza vaccine split virus, preservative free	20	20	$92.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	63	$176.00	$105.51
82962 Blood glucose (sugar) test performed by hand-held instrument	72	30	$17.00	$3.26
83036 Hemoglobin A1C level	40	22	$51.00	$9.65
G0008 Administration of influenza virus vaccine	39	37	$46.51	$17.73
99213 Established patient office or other outpatient visit, typically 15 minutes	39	26	$119.00	$71.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$197.09	$114.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	29	$108.00	$52.46
90662 Influenza vaccine split virus, preservative free	29	29	$80.00	$60.98
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$88.00	$15.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	69	$176.00	$106.11
82962 Blood glucose (sugar) test performed by hand-held instrument	105	37	$17.00	$3.19
99213 Established patient office or other outpatient visit, typically 15 minutes	64	40	$119.00	$69.46
83036 Hemoglobin A1C level	46	30	$51.00	$10.38
G0008 Administration of influenza virus vaccine	35	33	$42.00	$15.53
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	18	$30.00	$17.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	17	$108.00	$52.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$71.00	$41.31
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$16.52
90662 Influenza vaccine split virus, preservative free	16	15	$80.00	$54.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$183.00	$113.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	62	$176.00	$104.57
82962 Blood glucose (sugar) test performed by hand-held instrument	118	42	$17.00	$3.21
99213 Established patient office or other outpatient visit, typically 15 minutes	104	52	$119.00	$70.72
83036 Hemoglobin A1C level	55	35	$51.00	$11.75
G0008 Administration of influenza virus vaccine	31	31	$42.00	$21.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$183.00	$112.62
90662 Influenza vaccine split virus, preservative free	26	26	$80.00	$52.30
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$21.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	54	$119.00	$84.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	50	$176.00	$126.86
83036 Hemoglobin A1C level	29	21	$51.00	$13.05
G0008 Administration of influenza virus vaccine	23	21	$40.43	$26.65
90662 Influenza vaccine split virus, preservative free	20	19	$80.00	$47.12
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$26.65
90670 Pneumococcal vaccine for injection into muscle	11	11	$218.00	$188.79

Medical Specialties & State Licenses

CMS Verified: 2021-03-29

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036074737

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036074737

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036074737 (IL)

Commercial Insurance / Payer ID Blue Cross And Blue Shield Of Illinois

4623239 (IL)

Hospital & Practice Group Affiliations

Riverside Health System

375 N Wall St, Kankakee, IL 609013493

Phone: 8159330194

Secondary Practice Locations

3400 S Main St

Hopkins Park, IL 60944

Phone: 8159445545

Practice Associates & Co-Workers

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

5 Associated Practitioners

Deanna Schroeder , FNP-BC

Nurse Practitioner - Family

NPI 1265523906

Family Nurse Practitioner (Board Certified)

Dr. Payal Patel , MD

Family Medicine

NPI 1497339162

Doctor of Medicine (M.D.)

Dr. Douglas Morr , MD

Family Medicine

NPI 1548371537

Doctor of Medicine (M.D.)

Dr. Marie Jajou , MD

Family Medicine

NPI 1568146744

Doctor of Medicine (M.D.)

Dr. Krish Miglani , MD

Family Medicine

NPI 1598293920

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 23, 2019

Registered at 375 N WALL ST STE P310, KANKAKEE, IL 609013484 (Tel: 8159330194)

📍

Updated Business Mailing Address October 23, 2019

Registered at 375 N WALL ST STE P310, KANKAKEE, IL 609013484 (Tel: 8159330194)

✅

NPI Profile Active May 07, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 07, 2008

Registered at 375 N WALL ST, SUITE P520, KANKAKEE, IL 609013483 (Tel: 8159330194)

📍

Updated Business Mailing Address May 07, 2008

Registered at 375 N WALL ST, SUITE P520, KANKAKEE, IL 609013483 (Tel: 8159330194)

👤

Provider Name / Credentials Updated May 07, 2008

Recorded as STONEWALL MCCUISTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2008

Internal Medicine (License #036074737 in IL)

🟢

Initial NPI Registration & Enumeration August 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Stonewall Mccuiston. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720072143

Entity Type:

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

Enumeration Date: August 31, 2005

Last Update: March 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

375 N Wall St Ste P310

Kankakee, IL 609013484

Phone: 8159330194

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.