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DR. THOMAS ROBERT DEKOJ M.D.
NPI 1053514646
Surgery in Decatur, IL

Active since June 09, 2007PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1750 E LAKE SHORE DRIVE, SUITE 200, DECATUR, IL 62521(217) 428-6300(217) 428-6322 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Thomas Robert Dekoj M.d. NPPES

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

DR. THOMAS ROBERT DEKOJ M.D. (NPI 1053514646) is an individual surgery provider in Decatur, Illinois, licensed in Illinois (036126490) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053514646
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. THOMAS ROBERT DEKOJCredential: M.D.
Location Address1750 E LAKE SHORE DRIVE, SUITE 200Decatur, IL 62521-3806
Mailing Address1750 E Lake Shore Drive, Suite 200Decatur, IL 62521-3806 · (217) 428-6300 · Fax (217) 428-6322
Phone(217) 428-6300
Fax(217) 428-6322
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 9, 2007
Last NPPES UpdateAugust 30, 2012
✔ NPI 1053514646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036126490
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.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 261007 (NY)
1750 E LAKE SHORE DRIVE, Decatur, IL 62521
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Robert Dekoj 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 ID8729243985
PECOS Enrollment IDI20120713000322
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 Thomas Dekoj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Sinai Community Foundation
149 mi
Urology
6084 S ARCHER AVE, STE 202
Chicago, IL 60638
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1548640212 (773) 581-5888

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

Areas of Expertise CMS Part B claims

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 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.
24 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

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.

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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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 Thomas Dekoj's NPI number?

The NPI number for Thomas Dekoj is 1053514646. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Thomas Dekoj located?

Thomas Dekoj practices at 1750 E Lake Shore Drive Suite 200, Decatur, IL 62521. The listed phone number is (217) 428-6300.

What is Thomas Dekoj's specialty?

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

Is Thomas Dekoj enrolled in Medicare?

Yes. Thomas Dekoj 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.

Which organization bills Medicare for Thomas Dekoj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Dekoj reassigns Medicare benefits to Mount Sinai Community Foundation (Chicago, 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 Thomas Dekoj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Dekoj accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas Dekoj 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 Thomas Dekoj affiliated with any hospitals?

According to CMS data, Thomas Dekoj is affiliated with Mt Sinai Hospital Medical Center and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Dekoj was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.