DIANA C MCNULTY
NPI 1215900105
Internal Medicine in Freeport, IL

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
82.57/100
CMS Quality Rating
1010 FAIRWAY DR, FREEPORT, IL 61032(815) 599-7880 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Diana C Mcnulty NPPES

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

DIANA C MCNULTY (NPI 1215900105) is an individual internal medicine provider in Freeport, Illinois, licensed in Illinois (036103840) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (1991).

NPPES Registry Identity

NPI1215900105
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDIANA C MCNULTY
Location Address1010 FAIRWAY DRFreeport, IL 61032-6600
Mailing Address421 W Exchange St, Po Box 268Freeport, IL 61032-4030 · (815) 599-7950
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1991
Enumeration DateFebruary 10, 2006
Last NPPES UpdateOctober 23, 2017
NPI 1215900105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036103840
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.

1010 FAIRWAY DR, Freeport, IL 61032

Other Identifiers 3

Medicare UPINF74125
Medicare ID-Type UnspecifiedL84294IL
Medicaid036103840IL

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 and accepts Medicare assignment

Diana C Mcnulty 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 ID2860535317
PECOS Enrollment IDI20100205000081, I20100514000378
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 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
528 services243 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.
311 services186 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
119 services96 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.
43 services42 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
39 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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.

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.

82.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.59
Promoting Interoperability92
Improvement Activities40
Cost58.04

Referred Medical Equipment & Supplies CMS DME claims 17

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
7 suppliers63 claims146 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers36 claims45 services$1.05 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers34 claims34 services$41.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers22 claims22 services$95.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers20 claims57 services$41.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers14 claims84 services$17.86 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.

Pediatrics
1010 FAIRWAY DR
FREEPORT, IL 61032
Physician Assistant
1010 FAIRWAY DR
FREEPORT, IL 61032
Physical Therapy Assistant
1010 FAIRWAY DR
FREEPORT, IL 61032
Physical Medicine & Rehabilitation
1010 FAIRWAY DR
FREEPORT, IL 61032
Occupational Therapist
1010 FAIRWAY DR
FREEPORT, IL 61032
Physical Medicine & Rehabilitation
1010 FAIRWAY DR
FREEPORT, IL 61032
Physical Medicine & Rehabilitation
1010 FAIRWAY DR
FREEPORT, IL 61032
Physical Medicine & Rehabilitation
1010 FAIRWAY DR
FREEPORT, IL 61032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215900105, enumerated as an "individual" on February 10, 2006.

The provider is located at 1010 FAIRWAY DR FREEPORT, IL 61032 and the phone number is (815) 599-7880.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Quartz, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Diana Mcnulty is affiliated with: FHN MEMORIAL HOSPITAL.