MICHAEL PAUL BEDNARZ MD
NPI 1184661407
Psychiatry & Neurology - Psychiatry in Macomb, IL

Active since June 02, 2006PECOS Enrolled
84.57/100
CMS Quality Rating
1601 WEST JACKSON STREET, SUITE 104, MACOMB, IL 61455(309) 575-3222(309) 404-8000 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 21, 2021, Nov 6, 2018, Oct 25, 2017 (3 updates tracked since 2017).

About Michael Paul Bednarz Md NPPES

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

MICHAEL PAUL BEDNARZ MD (NPI 1184661407) is an individual psychiatry provider in Macomb, Illinois, licensed in Illinois (36100780) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184661407
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMICHAEL PAUL BEDNARZCredential: MD
Location Address1601 WEST JACKSON STREET, SUITE 104Macomb, IL 61455
Mailing Address1601 West Jackson Street, Suite 104Macomb, IL 61455 · (309) 575-3222 · Fax (309) 404-8000
Fax(309) 404-8000
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 21, 20213 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
NPI 1184661407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in IL · 36100780 Licensed in IL · 036100780
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1601 WEST JACKSON STREET, Macomb, IL 61455

Other Identifiers 1

Medicaid036100780IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Paul Bednarz Md 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.

Areas of Expertise CMS Part B claims 2

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
59 services29 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.
25 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
1601 WEST JACKSON STREET, SUITE 104
MACOMB, IL 61455
Psychiatry & Neurology (Psychiatry)
1601 WEST JACKSON STREET, SUITE 104
MACOMB, IL 61455

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 Bednarz's NPI number?

The NPI number for Michael Bednarz is 1184661407. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Michael Bednarz located?

Michael Bednarz practices at 1601 West Jackson Street Suite 104, Macomb, IL 61455. The listed phone number is (309) 575-3222.

What is Michael Bednarz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Bednarz enrolled in Medicare?

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

What insurance does Michael Bednarz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael Bednarz 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 Michael Bednarz was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.