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DONALD R FORD MD
NPI 1053398933
Family Medicine in Geneseo, IL

Active since December 30, 2005PECOS Enrolled
600 N COLLEGE AVE, SUITE 120, GENESEO, IL 61254(309) 944-5342(309) 944-8192 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donald R Ford Md NPPES

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

DONALD R FORD MD (NPI 1053398933) is an individual family medicine provider in Geneseo, Illinois, licensed in Illinois (036047661) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053398933
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD R FORDCredential: MD
Location Address600 N COLLEGE AVE, SUITE 120Geneseo, IL 61254-1091
Mailing Address600 N College Ave, Suite 120Geneseo, IL 61254-1091 · (309) 944-5342 · Fax (309) 945-4079
Phone(309) 944-5342
Fax(309) 944-8192
Sole ProprietorNo
Enumeration DateDecember 30, 2005
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1053398933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036047661✔ Licensed in IA · 25736
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.
600 N COLLEGE AVE, Geneseo, IL 61254
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Other Identifiers 7

Medicare PINL90120IL
Medicare PINI8145IA
Medicaid1053398933IL
Medicaid036047661IL
Medicaid0360476613IL
Medicare UPINC40122IL
Other0801777765IL · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald R Ford 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 Reassignments

2

Medicare enrollment records show Donald Ford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hammond Henry Dist Hospital
0.1 mi
Rural Health
600 N COLLEGE AVE
Geneseo, IL 61254
  • Reassigned Medicare billing, Illinois enrollment
  • 33 clinicians in this Medicare group
NPI 1093213308 (309) 944-1275
County Of Henry
19 mi
Public Health, State or Local
110 N BURR BLVD
Kewanee, IL 61443
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1851394829 (309) 852-0197

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 61254 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.

Other Providers at the Same Location NPPES 20

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

MS. KATHY ANN PEED
Dietitian, Registered
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-9103
DR. MATTHEW RYAN HEBERER M.D.
Surgery
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-1595
IOWA ILLINOIS PAIN CONSULTANTS PC
Clinic/Center (Pain)
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-6431
HAMMOND HENRY DIST HOSPITAL
Clinic/Center (Rural Health)
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-1275
HAMMMOND HENRY RETAIL PHARMACY
General Acute Care Hospital
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-8326
ALISSA HAASE
Occupational Therapist
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-6431
STACI LYNNE CIRCELLO APRN
Nurse Practitioner (Family)
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-9160
HAMMOND HENRY DIST HOSPITAL
Rehabilitation Unit
600 N COLLEGE AVE
GENESEO, IL 61254
Henry County (309) 944-9150

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 Donald Ford's NPI number?

The NPI number for Donald Ford is 1053398933. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Donald Ford located?

Donald Ford practices at 600 N College Ave Suite 120, Geneseo, IL 61254. The listed phone number is (309) 944-5342.

What is Donald Ford's specialty?

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

Is Donald Ford enrolled in Medicare?

Yes. Donald Ford is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donald Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Ford reassigns Medicare benefits to 2 organizations: Hammond Henry Dist Hospital (Geneseo, IL) and County Of Henry (Kewanee, IL). Each 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 Donald Ford'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 Donald Ford was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.