DR. DALE R CHILSON D.O
NPI 1235141664
Otolaryngology - Facial Plastic Surgery in Peru, IL
About Dr. Dale R Chilson D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DALE R CHILSON D.O (NPI 1235141664) is an individual facial plastic surgery provider in Peru, Illinois, licensed in Illinois (036096113) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Lafayette County, and is a graduate of Ohio University, College Of Osteopathic Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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. Dale R Chilson D.o 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.
Medicare Billing Reassignments
2Medicare enrollment records show Dale Chilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Darlington, WI 53530
- Reassigned Medicare billing, Wisconsin enrollment
- 53 clinicians in this Medicare group
Potosi, WI 53820
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1255339867 (Wisconsin)
- 53 clinicians in this Medicare group
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of Lafayette County
Critical Access Hospitals · Darlington, WIGrant Regional Health Center
Critical Access Hospitals · Lancaster, WIOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dale Chilson's NPI number?
The NPI number for Dale Chilson is 1235141664. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Dale Chilson located?
Dale Chilson practices at 4040 Progress Blvd, Peru, IL 61354. The listed phone number is (815) 224-3040.
What is Dale Chilson's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Dale Chilson enrolled in Medicare?
Yes. Dale Chilson 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 organizations bill Medicare for Dale Chilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dale Chilson reassigns Medicare benefits to 2 organizations: Lafayette County (Darlington, WI) and Grant Regional Health Center, Inc (Potosi, WI). Each 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 Dale Chilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dale Chilson accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz list Dale Chilson 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 Dale Chilson affiliated with any hospitals?
According to CMS data, Dale Chilson is affiliated with Memorial Hospital Of Lafayette County and Grant Regional Health Center.
When was this NPI record last updated?
The NPPES record for Dale Chilson was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Dale R Chilson, D.O · NPI 1235141664
Facial Plastic Surgery physician in Peru, Illinois. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1235141664 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **State license:** 036096113 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4040 PROGRESS BLVD, Peru, IL 61354-1124
- **Phone:** (815) 224-3040 · **Fax:** (815) 224-4327
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lafayette County (NPI 1114987054, Darlington, WI); Grant Regional Health Center, Inc (NPI 1699724443, Potosi, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 1992
## Record status
- **NPPES last updated:** August 25, 2008
- **Other identifiers:** Medicare UPIN G53038; Medicaid 036096113 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1235141664) · Data from the CMS NPPES public registry.