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Deactivated NPI 1528137403 Deactivated / Inactive NPI Male Practitioner

Dr. Virgilio M Dycoco , MD

General Practice • Pana, 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. Virgilio Dycoco has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2006
NPI Deactivation Date February 11, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Virgilio Dycoco, MD was a registered General Practice practicing in Pana, IL. Throughout an active medical career spanning 13 years, Dr. Dycoco provided care at the practice location at 217 S LOCUST ST until profile deactivation on 2019-02-11.

Historical Medicare Part B clinical services included established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, injection, methylprednisolone acetate, 40 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

217 S Locust St
Pana Medical Group Llc

Pana, IL 625579998

Telephone 2175622143
Fax 2175622251
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pana, IL

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

Practicing in Pana, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.3% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
461 231 $65.00 $41.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
333 60 $90.00 $87.42
J1030 Injection, methylprednisolone acetate, 40 mg
49 40 $9.75 $6.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
21 21 $150.00 $124.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
14 13 $36.25 $16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 13 $125.00 $101.33
81002 Urinalysis, manual test
13 11 $8.00 $3.41
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $75.00 $68.74
87804 Detection test by immunoassay with direct visual observation for influenza virus
11 11 $25.00 $16.22

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Tabitha Wilhour , NP

Nurse Practitioner

NPI 1134671233

Nurse Practitioner

Heather Beyers , NP

Nurse Practitioner - Family

NPI 1295965697

Nurse Practitioner

Coleen Rakers , ANP-BC

Nurse Practitioner - Adult Health

NPI 1396059325

ANPBC

NPI 1437228319

Doctor of Medicine (M.D.)

Dr. Gloria Dycoco , MD

Internal Medicine

NPI 1598837999

Doctor of Medicine (M.D.)

Allison Morgason , APRN

Nurse Practitioner - Family

NPI 1699521328

Advanced Practice Registered Nurse

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 February 11, 2019

Record deactivated on February 11, 2019

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 217 S LOCUST ST, PANA MEDICAL GROUP LLC, PANA, IL 625579998 (Tel: 2175622143)

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Updated Business Mailing Address July 08, 2007

Registered at 217 S LOCUST ST, PANA, IL 625579998 (Tel: 2175622143)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VIRGILIO DYCOCO, MD

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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: 1528137403
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: February 11, 2019

Mailing Address

217 S Locust St

Pana, IL 625579998

Phone: 2175622143

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.