Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295804722 Deactivated / Inactive NPI Male Practitioner

Dr. Jaime Humberto Cercone , MD

General Practice • Lewistown, 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. Jaime Cercone has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2006
NPI Deactivation Date June 25, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jaime Cercone, MD was a registered General Practice practicing in Lewistown, IL. Throughout an active medical career spanning 20 years, Dr. Cercone provided care at the practice location at 501 W MILTON AVE until profile deactivation on 2026-06-25.

Practice Location & Contact Primary Location

Practice Address

501 W Milton Ave

Lewistown, IL 615421322

Telephone 3095472135
Fax 3095471560

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Lewistown, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Lewistown, IL (355 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 June 25, 2026

Record deactivated on June 25, 2026

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 501 W MILTON AVE, LEWISTOWN, IL 615421322 (Tel: 3095472135)

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Updated Business Mailing Address July 08, 2007

Registered at 501 W MILTON AVE, LEWISTOWN, IL 615421322 (Tel: 3095472135)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAIME CERCONE, M.D.

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

General Practice

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Initial NPI Registration & Enumeration November 07, 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: 1295804722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: July 08, 2007
Deactivation Date: June 25, 2026

Mailing Address

501 W Milton Ave

Lewistown, IL 615421322

Phone: 3095472135

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.