DR. CYNTHIA D MARSCHNER DO
NPI 1194721571
Family Medicine in Decatur, IL

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
250 W KENWOOD AVE, DECATUR, IL 62526(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2020, Oct 26, 2016 (2 updates tracked since 2016).

About Dr. Cynthia D Marschner Do NPPES

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

DR. CYNTHIA D MARSCHNER DO (NPI 1194721571) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036-106303) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Chicago College Of Osteopathy (1999).

NPPES Registry Identity

NPI1194721571
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CYNTHIA D MARSCHNERCredential: DO
Location Address250 W KENWOOD AVEDecatur, IL 62526-4371
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541 · Fax (217) 528-8962
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1999
Enumeration DateJune 22, 2005
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
NPI 1194721571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036-106303
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.
250 W KENWOOD AVE, Decatur, IL 62526

Other Names 1

Former Name (1)Cynthia D Clausen Do

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

Dr. Cynthia D Marschner 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 ID6608849302
PECOS Enrollment IDI20040819000204
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 10

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.
674 services348 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
587 services306 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.
108 services86 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
108 services106 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
96 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers29 claims60 services$6.17 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers23 claims23 services$36.77 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers19 claims38 services$1.18 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers14 claims14 services$101.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers18 claims46 services$36.94 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers12 claims59 services$15.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
250 W KENWOOD AVE
DECATUR, IL 62526
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Non-Pharmacy Dispensing Site
250 W KENWOOD AVE
DECATUR, IL 62526
Physician Assistant (Medical)
250 W KENWOOD AVE
DECATUR, IL 62526
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526
Family Medicine
250 W KENWOOD AVE
DECATUR, IL 62526

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 Cynthia Marschner's NPI number?

The NPI number for Cynthia Marschner is 1194721571. It was assigned to this individual provider in the NPPES registry on June 22, 2005. The provider is also known as Cynthia D Clausen Do.

Where is Cynthia Marschner located?

Cynthia Marschner practices at 250 W Kenwood Ave, Decatur, IL 62526. The listed phone number is (217) 528-7541.

What is Cynthia Marschner's specialty?

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

Is Cynthia Marschner enrolled in Medicare?

Yes. Cynthia Marschner 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 Cynthia Marschner affiliated with any hospitals?

According to CMS data, Cynthia Marschner is affiliated with Decatur Memorial Hospital, Memorial Medical Center and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Marschner was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.