DR. MAFETH ARAULA LIM DO
NPI 1194284414
Family Medicine in Collinsville, IL

Q: What is Mafeth Lim's NPI number?

The NPI number for Mafeth Lim is 1194284414. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Q: What is Mafeth Lim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mafeth Lim was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 16, 2019PECOS EnrolledAccepts Medicare Assignment

531 VANDALIA ST, COLLINSVILLE, IL 62234(618) 344-0090(618) 344-4371 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2021, Mar 16, 2019 (2 updates tracked since 2019).

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About Dr. Mafeth Araula Lim Do NPPES

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

DR. MAFETH ARAULA LIM DO (NPI 1194284414) is an individual family medicine provider in Collinsville, Illinois, licensed in Missouri (2021020850) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194284414

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MAFETH ARAULA LIMCredential: DO

Location Address531 VANDALIA STCollinsville, IL 62234-4061

Mailing Address6810 State Route 162, Box 215Maryville, IL 62062 · (618) 391-6495

Phone(618) 344-0090

Fax(618) 344-4371

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 16, 2019

Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1194284414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2021020850

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.

531 VANDALIA ST, Collinsville, IL 62234

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

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

Dr. Mafeth Araula Lim Do 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 ID6901202324

PECOS Enrollment IDI20240831000175

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 Mafeth Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anderson Medical Group, LLC

4.7 mi

General Practice

6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
145 clinicians in this Medicare group

NPI 1700807716 (618) 288-5711

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 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.

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.

18 services16 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.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62234 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 6

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

ASHLEY MARIE HYNES PA-C

Physician Assistant

531 VANDALIA ST
COLLINSVILLE, IL 62234

Madison County (618) 344-0090

DR. PATRICK ZIMMERMANN M.D.

Family Medicine

531 VANDALIA ST, SUITE 100
COLLINSVILLE, IL 62234

Madison County (618) 344-0090

SOUTHERN ILLINOIS HEALTH CARE ASSOCIATION

Health Maintenance Organization

531 VANDALIA ST, SECOND FLOOR
COLLINSVILLE, IL 62234

Madison County (618) 345-3160

FAMILY MEDICINE ASSOCIATES, P.C.

Family Medicine

531 VANDALIA ST, SUITE 100
COLLINSVILLE, IL 62234

Madison County (618) 344-0090

JESSICA LYNN WALKER FNP-BC

Nurse Practitioner (Family)

531 VANDALIA ST
COLLINSVILLE, IL 62234

Madison County (618) 344-0090

MR. LAWRENCE A DRAPER PA-C

Physician Assistant (Medical)

531 VANDALIA ST
COLLINSVILLE, IL 62234

Madison County (618) 344-0090

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 Mafeth Lim's NPI number?

The NPI number for Mafeth Lim is 1194284414. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Mafeth Lim located?

Mafeth Lim practices at 531 Vandalia St, Collinsville, IL 62234. The listed phone number is (618) 344-0090.

What is Mafeth Lim's specialty?

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

Is Mafeth Lim enrolled in Medicare?

Yes. Mafeth Lim 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 organization bills Medicare for Mafeth Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mafeth Lim reassigns Medicare benefits to Anderson Medical Group, LLC (Maryville, 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 Mafeth Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mafeth Lim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Mafeth Lim 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.

Is Mafeth Lim affiliated with any hospitals?

According to CMS data, Mafeth Lim is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Mafeth Lim was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.