DWIGHT PENTZIEN D.O.
NPI 1073629887
Emergency Medicine in Mattoon, IL

Q: What is Dwight Pentzien's NPI number?

The NPI number for Dwight Pentzien is 1073629887. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Dwight Pentzien's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Dwight Pentzien was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 22, 2006PECOS Enrolled

1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 258-2551(217) 258-2256 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dwight Pentzien D.o. NPPES

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

DWIGHT PENTZIEN D.O. (NPI 1073629887) is an individual emergency medicine provider in Mattoon, Illinois, licensed in Illinois (036-090963) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073629887

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDWIGHT PENTZIENCredential: D.O.

Location Address1000 HEALTH CENTER DRMattoon, IL 61938-9261

Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4693 · (217) 238-6055 · Fax (217) 258-2216

Phone(217) 258-2551

Fax(217) 258-2256

Sole ProprietorNo

Enumeration DateAugust 22, 2006

Last NPPES UpdateJanuary 4, 2019

✔ NPI 1073629887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036-090963

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 HEALTH CENTER DR, Mattoon, IL 61938

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dwight Pentzien D.o. 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 61938 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.

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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.

DR. DOMINIC PERRINO D.O.

Hospitalist