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DR. STANLEY J SIDWELL IV MD
NPI 1073529475
Internal Medicine in Alton, IL

Active since July 31, 2006PECOS Enrolled
1 MEMORIAL DR, ALTON, IL 62002(618) 463-7240(618) 463-7216 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2019, Sep 28, 2016 (2 updates tracked since 2016).

About Dr. Stanley J Sidwell Iv Md NPPES

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

DR. STANLEY J SIDWELL IV MD (NPI 1073529475) is an individual internal medicine provider in Alton, Illinois, licensed in Illinois (036063407) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073529475
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. STANLEY J SIDWELL IVCredential: MD
Location Address1 MEMORIAL DRAlton, IL 62002-6722
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (618) 463-7240 · Fax (618) 463-7216
Phone(618) 463-7240
Fax(618) 463-7216
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateDecember 16, 20192 updates tracked since enumeration
✔ NPI 1073529475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036063407✔ Licensed in MO · R5A64
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 MEMORIAL DR, Alton, IL 62002
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Other Identifiers 1

Medicaid0360634071IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stanley J Sidwell Iv 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%202 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DIA M MILAZZO CRNA
Nurse Anesthetist, Certified Registered
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
DR. JULETTA AVAGYAN M.D.
Hospitalist
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7240
RODGER HANKO M.D.
Emergency Medicine
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
MATTHEW E DUBAN M.D., FACEP
Emergency Medicine
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
MS. SYLVIA G HOORMANN CRNA
Nurse Anesthetist, Certified Registered
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
MS. MEREDITH ANNE PARKER MSW, LCSW
Social Worker (Clinical)
1 MEMORIAL DR, 2ND FLOOR, OLIN WING
ALTON, IL 62002
Madison County (618) 463-7523
HOME CARE PHARMACY REFILL CTR
Pharmacy (Mail Order Pharmacy)
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7833
ALTON MEMORIAL HOSPITAL
Ambulance
1 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311

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 Stanley Sidwell's NPI number?

The NPI number for Stanley Sidwell is 1073529475. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Stanley Sidwell located?

Stanley Sidwell practices at 1 Memorial Dr, Alton, IL 62002. The listed phone number is (618) 463-7240.

What is Stanley Sidwell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stanley Sidwell enrolled in Medicare?

Yes. Stanley Sidwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stanley Sidwell was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.