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DOUGLAS M. KUHL M.D.
NPI 1174732945
Pediatrics in Breese, IL

Active since May 21, 2007PECOS Enrolled
9401 HOLY CROSS LN, SUITE 112B, BREESE, IL 62230(618) 526-7271(618) 526-7313 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas M. Kuhl M.d. NPPES

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

DOUGLAS M. KUHL M.D. (NPI 1174732945) is an individual pediatrics provider in Breese, Illinois, licensed in Illinois (036129742) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174732945
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS M. KUHLCredential: M.D.
Location Address9401 HOLY CROSS LN, SUITE 112BBreese, IL 62230-3510
Mailing Address9401 Holy Cross Ln, Suite 112bBreese, IL 62230-3510 · (618) 526-7271 · Fax (618) 526-7313
Phone(618) 526-7271
Fax(618) 526-7313
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1174732945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036129742
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9401 HOLY CROSS LN, Breese, IL 62230
Open in Google Maps ↗

Other Identifiers 2

Medicaid1513806TN
Other4233422TN · Bcbs Tn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas M. Kuhl M.d. 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 Reassignments

2

Medicare enrollment records show Douglas Kuhl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde
Same address
Rural Health
9401 HOLY CROSS LN # 112
Breese, IL 62230
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
NPI 1013002658 (618) 526-7271
Sjl Health Systems Inc
57 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

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 62230 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 14

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

ROCH ANDRE LEFEBVRE M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
AMY KATHLEEN KRAUSE PA
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DR. BRETT LYNN HUTCHERSON D.O.
Family Medicine
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
JONATHAN VAUGHN OSBORN M.D.
Family Medicine
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
MRS. AMBER LEIGH POETTKER PA-C
Physician Assistant
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
KATLYN HILMES
Nurse Practitioner
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271
FRED CHARLES BOCH LCSW
Social Worker (Clinical)
9401 HOLY CROSS LN, SUITE 112
BREESE, IL 62230
Clinton County (618) 526-7271
DENNIS JOSEPH RIECHMAN FNP-BC
Nurse Practitioner
9401 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-7271

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 Douglas Kuhl's NPI number?

The NPI number for Douglas Kuhl is 1174732945. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Douglas Kuhl located?

Douglas Kuhl practices at 9401 Holy Cross Ln Suite 112B, Breese, IL 62230. The listed phone number is (618) 526-7271.

What is Douglas Kuhl's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Kuhl enrolled in Medicare?

Yes. Douglas Kuhl is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Kuhl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Kuhl reassigns Medicare benefits to 2 organizations: St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde (Breese, IL) and Sjl Health Systems Inc (Pana, IL). 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 Douglas Kuhl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Kuhl accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Douglas Kuhl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Kuhl was last updated on December 22, 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.