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DR. MICHAEL M WALL M.D.
NPI 1093772311
Family Medicine in Forsyth, IL

Active since April 28, 2006PECOS Enrolled
95.01/100
CMS Quality Rating
241 W WEAVER RD, STE 145C, FORSYTH, IL 62535(217) 876-5200(217) 876-5205 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael M Wall M.d. NPPES

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

DR. MICHAEL M WALL M.D. (NPI 1093772311) is an individual family medicine provider in Forsyth, Illinois, licensed in Illinois (036071267) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (1984).

NPPES Registry Identity

NPI1093772311
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL M WALLCredential: M.D.
Location Address241 W WEAVER RD, STE 145CForsyth, IL 62535-9799
Mailing Address2300 N Edward St, GsbllDecatur, IL 62526-4163 · (217) 876-5690 · Fax (217) 876-2874
Phone(217) 876-5200
Fax(217) 876-5205
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1984
Enumeration DateApril 28, 2006
Last NPPES UpdateAugust 27, 2014
✔ NPI 1093772311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036071267
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
241 W WEAVER RD, Forsyth, IL 62535
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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)

Dr. Michael M Wall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668463449
PECOS Enrollment IDI20040520000721
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 Michael Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siu Physicians & Surgeons, Inc
38 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000

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 7

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 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.
659 services349 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
326 services323 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
290 services290 patients
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.
212 services146 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
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62535 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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers77 claims198 services$5.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers23 claims23 services$1.01 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers32 claims32 services$36.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers20 claims20 services$86.01 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims34 services$36.28 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers21 claims21 services$49.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DR. BETHANY MORGAN GEBUR DMSC, MPAS, PA-C
Physician Assistant (Medical)
241 W WEAVER RD
FORSYTH, IL 62535
Macon County (217) 876-5220
BRITTNEY L MOUTRAY RD LDN CDE
Dietitian, Registered
241 W WEAVER RD, SUITE 210
FORSYTH, IL 62535
Macon County (217) 876-5370
DR. FERAS SHAWISH
Internal Medicine
241 W WEAVER RD
FORSYTH, IL 62535
Macon County (217) 876-5600
NICOLE DALTON P.A.
Physician Assistant
241 W WEAVER RD, SUITE 145B
FORSYTH, IL 62535
Macon County (217) 794-5472
DR. POOJA SHETH-DUTT MD
Family Medicine
241 W WEAVER RD
FORSYTH, IL 62535
Macon County (217) 876-5220
MS. JANE PIRAINO N.P.
Nurse Practitioner
241 W WEAVER RD, SUITE 240
FORSYTH, IL 62535
Macon County (217) 876-6350
MRS. MARILEE DALTON PETERS N.P.
Nurse Practitioner
241 W WEAVER RD, SUITE 240
FORSYTH, IL 62535
Macon County (217) 876-6350
MS. SUNNI LEIGH DELAHUNTY P.A.-C
Physician Assistant
241 W WEAVER RD, SUITE 145C
FORSYTH, IL 62535
Macon County (217) 876-5200

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 Michael Wall's NPI number?

The NPI number for Michael Wall is 1093772311. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Michael Wall located?

Michael Wall practices at 241 W Weaver Rd Ste 145C, Forsyth, IL 62535. The listed phone number is (217) 876-5200.

What is Michael Wall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Wall enrolled in Medicare?

Yes. Michael Wall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wall reassigns Medicare benefits to Siu Physicians & Surgeons, Inc (Springfield, 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 Michael Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Wall affiliated with any hospitals?

According to CMS data, Michael Wall is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Wall was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.