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JOAN V ALVARADO MD
NPI 1033430624
Family Medicine in Charleston, IL

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
116 W BUCHANAN AVE, CHARLESTON, IL 61920(217) 345-7700(217) 345-7200 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Dec 7, 2021, Nov 12, 2018 and 1 more (4 updates tracked since 2018).

About Joan V Alvarado Md NPPES

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

JOAN V ALVARADO MD (NPI 1033430624) is an individual family medicine provider in Charleston, Illinois, licensed in Illinois (036131131) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033430624
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJOAN V ALVARADOCredential: MD
Location Address116 W BUCHANAN AVECharleston, IL 61920-2522
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 345-7700
Fax(217) 345-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 17, 2010
Last NPPES UpdateNovember 1, 20244 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
✔ NPI 1033430624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036131131
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 036-131131 (IL)
116 W BUCHANAN AVE, Charleston, IL 61920
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11004 Health Center Dr Ste 210Mattoon, IL 61938-4608 · Phone (217) 348-4961 · Fax (217) 238-4962
Location 21201 Wooddell Way Ste BMattoon, IL 61938-1014 · Phone (217) 238-3000 · Fax (217) 238-3008

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

Joan V Alvarado Md 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 ID8820238967
PECOS Enrollment IDI20130712000298
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61920 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims46 services$6.84 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier13 claims13 services$41.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$100.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims19 services$40.27 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$22.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers21 claims57 services$2.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ERICA DAVIS PERRINO M.D.
Family Medicine
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700
MARK EMENECKER D.O.
Family Medicine
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700
DR. SEEMA GARG
Pediatrics
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700
DR. SANJAY K GARG M.B.B.S
Pediatrics
116 W BUCHANAN AVE
CHARLESTON, IL 61920
Coles County (217) 345-7700

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 Joan Alvarado's NPI number?

The NPI number for Joan Alvarado is 1033430624. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Joan Alvarado located?

Joan Alvarado practices at 116 W Buchanan Ave, Charleston, IL 61920. The listed phone number is (217) 345-7700.

What is Joan Alvarado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joan Alvarado enrolled in Medicare?

Yes. Joan Alvarado 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.

Is Joan Alvarado affiliated with any hospitals?

According to CMS data, Joan Alvarado is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Joan Alvarado was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.