MICHEAL YOUNG M.D.
NPI 1033214994
Surgery in Decatur, IL

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1730 E LAKE SHORE DR, DECATUR, IL 62521(217) 329-1000(217) 329-1055 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Micheal Young M.d. NPPES

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

MICHEAL YOUNG M.D. (NPI 1033214994) is an individual surgery provider in Decatur, Illinois, licensed in Illinois (036097611) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1033214994
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHEAL YOUNGCredential: M.D.
Location Address1730 E LAKE SHORE DRDecatur, IL 62521-3809
Mailing Address1730 E Lake Shore DrDecatur, IL 62521-3809 · (217) 329-1000 · Fax (217) 329-1055
Fax(217) 329-1055
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1992
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1033214994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036097611
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1730 E LAKE SHORE DR, Decatur, IL 62521

Secondary Practice Location 1

Location 11701 E College AveBloomington, IL 61704-2101 · Phone (309) 664-3038

Other Identifiers 1

OtherIL2613IL · Medicare Group Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Micheal Young M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325186570
PECOS Enrollment IDI20091110000164
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services20 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
18 services18 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Pulmonary Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Rheumatology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Gastroenterology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Gastroenterology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Family)
1730 E LAKE SHORE DR
DECATUR, IL 62521

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 Micheal Young's NPI number?

The NPI number for Micheal Young is 1033214994. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Micheal Young located?

Micheal Young practices at 1730 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 329-1000.

What is Micheal Young's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Micheal Young enrolled in Medicare?

Yes. Micheal Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Micheal Young accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Micheal Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Micheal Young affiliated with any hospitals?

According to CMS data, Micheal Young is affiliated with St Joseph Medical Center and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Micheal Young was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.