AMANDA QUINTINO MARTINS LARA MD
NPI 1194443481
Internal Medicine in Decatur, IL

Q: What is Amanda Quintino Martins Lara's NPI number?

The NPI number for Amanda Quintino Martins Lara is 1194443481. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Amanda Quintino Martins Lara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment

2300 N EDWARD ST, DECATUR, IL 62526(217) 876-3660 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Amanda Quintino Martins Lara Md NPPES

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

AMANDA QUINTINO MARTINS LARA MD (NPI 1194443481) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (036173578) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194443481

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameAMANDA QUINTINO MARTINS LARACredential: MD

Location Address2300 N EDWARD STDecatur, IL 62526-4163

Mailing Address2300 N Edward StDecatur, IL 62526-4163 · (217) 876-3660

Phone(217) 876-3660

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 22, 2022

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1194443481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036173578

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036173578 (IL)

2300 N EDWARD ST, Decatur, IL 62526

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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

Amanda Quintino Martins Lara Md 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 ID1951801760

PECOS Enrollment IDI20250826001469

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

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

Decatur Memorial Hospital

Same address

General Acute Care Hospital

2300 N EDWARD ST, GSBLL
Decatur, IL 62526

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

NPI 1164477725 (217) 876-2868

Taylorville Memorial Hospital

28 mi

Critical Access

201 E PLEASANT ST
Taylorville, IL 62568

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

NPI 1144292020 (217) 707-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

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.

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.

CULLEN WHICKER CRNA

Nurse Anesthetist, Certified Registered