PHILLIP BARNELL M.D., FAAFP
NPI 1114943057
Emergency Medicine in Decatur, IL
About Phillip Barnell M.d., Faafp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP BARNELL M.D., FAAFP (NPI 1114943057) is an individual emergency medicine provider in Decatur, Illinois, licensed in Illinois (036-071347) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Warner Hospital And Health Services, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip Barnell M.d., Faafp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Phillip Barnell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, IL 62521
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Clinton, IL 61727
- Reassigned Medicare billing, Illinois enrollment
- 27 clinicians in this Medicare group
Mason City, IL 62664
- Reassigned Medicare billing, Illinois enrollment
- 56 clinicians in this Medicare group
Vandalia, IL 62471
- Reassigned Medicare billing, Illinois enrollment
- 121 clinicians in this Medicare group
Ft. Worth, TX 76116
- Reassigned Medicare billing, Illinois enrollment
- 17 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Warner Hospital And Health Services
Critical Access Hospitals · Clinton, ILMason District Hospital
Critical Access Hospitals · Havana, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62521 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
DECATUR, IL 62521
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 Phillip Barnell's NPI number?
The NPI number for Phillip Barnell is 1114943057. It was assigned to this individual provider in the NPPES registry on July 14, 2006.
Where is Phillip Barnell located?
Phillip Barnell practices at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-2966.
What is Phillip Barnell's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Phillip Barnell enrolled in Medicare?
Yes. Phillip Barnell 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.
Which organizations bill Medicare for Phillip Barnell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Barnell reassigns Medicare benefits to 5 organizations: Cepamerica Illinois LLP (Decatur, IL), City Of Clinton (Clinton, IL), Mason Hospital District (Mason City, IL), Sarah Bush Lincoln Health Center (Vandalia, IL) and Epss LLC - East Series (Ft. Worth, TX). Each 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 Phillip Barnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phillip Barnell affiliated with any hospitals?
According to CMS data, Phillip Barnell is affiliated with Warner Hospital And Health Services and Mason District Hospital.
When was this NPI record last updated?
The NPPES record for Phillip Barnell was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Phillip Barnell, M.D., FAAFP · NPI 1114943057
Emergency Medicine physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1114943057 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036-071347 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 E LAKE SHORE DR, Decatur, IL 62521-3810
- **Phone:** (217) 464-2966
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cepamerica Illinois LLP (NPI 1962279380, Decatur, IL); City Of Clinton (NPI 1275695470, Clinton, IL); Mason Hospital District (NPI 1932166931, Mason City, IL); Sarah Bush Lincoln Health Center (NPI 1912988734, Vandalia, IL); Epss LLC - East Series (NPI 1841533882, Ft. Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 1984
## Record status
- **NPPES last updated:** December 17, 2021
- **Other identifiers:** Medicaid 036071347 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1114943057) · Data from the CMS NPPES public registry.