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DR. THOMAS W FONNER DMD
NPI 1205907581
Dentist - Oral and Maxillofacial Surgery in Effingham, IL

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
100 GREENVIEW DR STE B, EFFINGHAM, IL 62401(217) 540-5348(217) 540-5360 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas W Fonner Dmd NPPES

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

DR. THOMAS W FONNER DMD (NPI 1205907581) is an individual oral and maxillofacial surgery provider in Effingham, Illinois, licensed in Illinois (019-024942) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Southern Illinois Univ School Of Dental Medicine (1995).

NPPES Registry Identity

NPI1205907581
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS W FONNERCredential: DMD
Location Address100 GREENVIEW DR STE BEffingham, IL 62401-3048
Mailing Address100 Greenview Dr Ste BEffingham, IL 62401-3048 · (217) 540-5348 · Fax (217) 540-5360
Phone(217) 540-5348
Fax(217) 540-5360
Sole ProprietorNo
Medical School CMSSouthern Illinois Univ School Of Dental MedicineGraduated 1995
Enumeration DateNovember 10, 2006
Last NPPES UpdateApril 4, 2018
✔ NPI 1205907581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019-024942
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
100 GREENVIEW DR STE B, Effingham, IL 62401
Open in Google Maps ↗

Other Identifiers 1

Medicaid1014426IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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. Thomas W Fonner Dmd 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 ID8921009069
PECOS Enrollment IDI20070116000508
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.

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$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.

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 Thomas Fonner's NPI number?

The NPI number for Thomas Fonner is 1205907581. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Thomas Fonner located?

Thomas Fonner practices at 100 Greenview Dr Ste B, Effingham, IL 62401. The listed phone number is (217) 540-5348.

What is Thomas Fonner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thomas Fonner enrolled in Medicare?

Yes. Thomas Fonner 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.

What insurance does Thomas Fonner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Thomas Fonner 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 Thomas Fonner affiliated with any hospitals?

According to CMS data, Thomas Fonner is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Thomas Fonner was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.