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PHILLIP BARNELL M.D., FAAFP
NPI 1114943057
Emergency Medicine in Decatur, IL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1114943057
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePHILLIP BARNELLCredential: M.D., FAAFP
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address75 Remitt Drive, Lockbox 1707Chicago, IL 60675-1707 · (866) 916-5259 · Fax (231) 922-4030
Phone(217) 464-2966
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1984
Enumeration DateJuly 14, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1114943057 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 · 036-071347
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.
1800 E LAKE SHORE DR, Decatur, IL 62521
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Other Identifiers 1

Medicaid036071347IL

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

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.

PECOS PAC ID9638157324
PECOS Enrollment IDI20040709000495
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
59 services57 patients

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

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician 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.

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

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%939 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MARY KATHERINE KENNEY PA
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
DR. MICHAEL CHOI MD
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2017
CHRISTINE M MEEKER N.P.
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2126
SOMAN NAIR MD
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2984
KRISTINA KAY BRADFORD APN
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
JACOB NUSS
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
MRS. KRISTEN LEE GROHNE SLP
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2415
MARY CRISLER
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2540

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.

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.