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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Dwight Pentzien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
Same address
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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 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.

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
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
VINCENT P CAGUNGUN RN
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4006
ELLIE BUENING OTR/L
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2530
DR. ALEXIS AYONOTE M.D.
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4155
MICHAEL JOHN ATKINSON MPAS, PA-C, ATC
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4960
JOHN ROGERS MD
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
JOSEPH BURTON D.O.
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2551
ROBERT BLOOD M.D.
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2440

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 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.

Where is Dwight Pentzien located?

Dwight Pentzien practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-2551.

What is Dwight Pentzien's specialty?

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

Is Dwight Pentzien enrolled in Medicare?

Yes. Dwight Pentzien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dwight Pentzien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwight Pentzien reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, 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 Dwight Pentzien'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 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.