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JILL WIRTH-RISSMAN MD
NPI 1003028150
Family Medicine - Sports Medicine in Washington, IL

Active since May 03, 2007PECOS Enrolled
205 N CUMMINGS LN, WASHINGTON, IL 61571(309) 643-6210 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 24, 2020, Mar 19, 2018 (2 updates tracked since 2018).

About Jill Wirth-rissman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL WIRTH-RISSMAN MD (NPI 1003028150) is an individual sports medicine provider in Washington, Illinois, licensed in Illinois (036119699) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003028150
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameJILL WIRTH-RISSMANCredential: MD
Location Address205 N CUMMINGS LNWashington, IL 61571-2181
Mailing Address5100 Reliable PkwyChicago, IL 60686-0001 · (309) 672-4809
Phone(309) 643-6210
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration
✔ NPI 1003028150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IL · 036119699
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
205 N CUMMINGS LN, Washington, IL 61571
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Other Identifiers 1

Other036119699IL · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Wirth-rissman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jill Wirth-rissman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Methodist Medical Center Of Illinois
8.0 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61571 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Wirth-rissman's NPI number?

The NPI number for Jill Wirth-rissman is 1003028150. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jill Wirth-rissman located?

Jill Wirth-rissman practices at 205 N Cummings Ln, Washington, IL 61571. The listed phone number is (309) 643-6210.

What is Jill Wirth-rissman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jill Wirth-rissman enrolled in Medicare?

Yes. Jill Wirth-rissman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jill Wirth-rissman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Wirth-rissman reassigns Medicare benefits to Methodist Medical Center Of Illinois (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Wirth-rissman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jill Wirth-rissman was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.