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PROF. SIDNEY P ROHRSCHEIB M.D.
NPI 1073580122
Surgery in Clinton, IL

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
803 ILLINI DR, CLINTON, IL 61727(217) 935-7037(217) 935-7047 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prof. Sidney P Rohrscheib M.d. NPPES

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

PROF. SIDNEY P ROHRSCHEIB M.D. (NPI 1073580122) is an individual surgery provider in Clinton, Illinois, licensed in Illinois (036090160) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Marys Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1073580122
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePROF. SIDNEY P ROHRSCHEIBCredential: M.D.
Location Address803 ILLINI DRClinton, IL 61727-9444
Mailing Address803 Illini DrClinton, IL 61727-9444 · (217) 935-7037 · Fax (217) 935-7047
Phone(217) 935-7037
Fax(217) 935-7047
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 7, 2006
Last NPPES UpdateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1073580122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036090160✔ Licensed in OH · 35.064607
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.
803 ILLINI DR, Clinton, IL 61727
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Secondary Practice Location 1

Location 11730 E Lake Shore DrDecatur, IL 62521-3809 · Phone (217) 329-1000

Other Identifiers 1

Medicaid036090160IL

Accepted Insurance

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

Prof. Sidney P Rohrscheib 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 ID7810954245
PECOS Enrollment IDI20041216000657
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 10

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.

Other procedure on stomach 43999
"Other procedure on stomach" refers to various medical interventions that aren't classified under common stomach procedures. These can include diagnostic procedures, removal of foreign bodies, or treatment of specific conditions. The exact process will depend on the patient's unique health needs.
82 services45 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.
47 services26 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
34 services33 patients
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.
30 services23 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.
28 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services26 patients

Hospital Affiliations CMS Care Compare 2

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

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

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61727 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

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

SIDNEY P. ROHRSCHEIB, M.D., PC
Surgery
803 ILLINI DR
CLINTON, IL 61727
De Witt County (217) 935-7037

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 Sidney Rohrscheib's NPI number?

The NPI number for Sidney Rohrscheib is 1073580122. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Sidney Rohrscheib located?

Sidney Rohrscheib practices at 803 Illini Dr, Clinton, IL 61727. The listed phone number is (217) 935-7037.

What is Sidney Rohrscheib's specialty?

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

Is Sidney Rohrscheib enrolled in Medicare?

Yes. Sidney Rohrscheib 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 Sidney Rohrscheib accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sidney Rohrscheib 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 Sidney Rohrscheib affiliated with any hospitals?

According to CMS data, Sidney Rohrscheib is affiliated with St Marys Hospital and Warner Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Sidney Rohrscheib was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.