LORI CUDONE M.D. NPI 1003037169

Otolaryngology in Dixon, IL

NPI 1003037169 Individual Female Years of Experience 16 Otolaryngology PECOS Enrolled Accepts Medicare Approved Payment

About LORI CUDONE

Lori Cudone is a provider established in Dixon, Illinois and her medical specialization is otolaryngology with more than 16 years of experience. She graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2006. The NPI number of Lori Cudone is 1003037169 and was assigned on May 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 036-127079 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

Lori Cudone is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Lori Cudone is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Sarah Bush Lincoln Health Center and Katherine Shaw Bethea Hospital.

NPI

1003037169

Provider Name LORI CUDONE M.D.
Provider Location Address215 E 1ST ST STE 111 DIXON, IL 61021
Provider Mailing Address215 E 1ST ST STE 111 DIXON, IL 61021
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-02-2007
Last Update Date04-09-2021


Primary Taxonomy

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.036-127079
License StateIL
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Business Address

LORI CUDONE M.D.
215 E 1ST ST STE 111
DIXON, IL
ZIP 61021
Phone: (815) 285-5603

Get Directions


Mailing Address

LORI CUDONE M.D.
215 E 1ST ST STE 111
DIXON, IL
ZIP 61021
Phone: (815) 285-5603



Secondary Locations

905 N Maple St
Effingham, IL 62401
(217) 347-7077
650 W Taylor St
Vandalia, IL 62471
(618) 283-5531
1000 Health Center Dr Ste 401
Mattoon, IL 61938
(217) 258-2409

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3375721483
PECOS Enrollment IDI20110620000438
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 625Preparation and provision of single or multiple antigens for allergen immunotherapy (HCPCS:95165)
  • 395Injection of incremental dosages of allergen, 2 or more injections (HCPCS:95117)
  • 127Removal of impact ear wax, one ear (HCPCS:69210)
  • 89Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 18Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 14Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lori Cudone is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SARAH BUSH LINCOLN HEALTH CENTER1000 HEALTH CENTER DRIVE P O BOX 372
MATTOON, IL 61938
(217) 258-2572Acute Care Hospitals140189
KATHERINE SHAW BETHEA HOSPITAL403 E 1ST ST
DIXON, IL 61021
(815) 288-5531Acute Care Hospitals140012

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology125-051257ILNo

Taxonomy Description: an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891905600 THOMAS G. GEHLBACH M.D.
Individual
Internal Medicine (Pulmonary Disease)215 E 1ST ST STE 111
DIXON, IL 61021
(815) 285-5966

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.