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ETHAN THOMAS NETHERY MD
NPI 1265327555
Urology in Springfield, IL

Active since June 09, 2025PECOS Enrolled
301 N 8TH ST FL 3, SPRINGFIELD, IL 62701(217) 545-3262(217) 545-7305 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Thomas Nethery Md NPPES

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

ETHAN THOMAS NETHERY MD (NPI 1265327555) is an individual urology provider in Springfield, Illinois, licensed in Illinois (125086230) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265327555
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameETHAN THOMAS NETHERYCredential: MD
Location Address301 N 8TH ST FL 3Springfield, IL 62701-1041
Mailing AddressPo Box 19700Springfield, IL 62794-9700 · (217) 545-3262 · Fax (217) 545-7305
Phone(217) 545-3262
Fax(217) 545-7305
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1265327555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 125086230
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
301 N 8TH ST FL 3, Springfield, IL 62701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Thomas Nethery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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
$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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARKER LAURANCE HEGER MD
Urology
301 N 8TH ST FL 3
SPRINGFIELD, IL 62701
Sangamon County (217) 545-3262
DR. TYLER AARON JONES MD
Urology
301 N 8TH ST FL 3
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
BROOKE MARIE BEERS
Urology
301 N 8TH ST FL 3
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000
JADA COBB MD
Urology
301 N 8TH ST FL 3
SPRINGFIELD, IL 62701
Sangamon County (217) 545-8000

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 Ethan Nethery's NPI number?

The NPI number for Ethan Nethery is 1265327555. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Ethan Nethery located?

Ethan Nethery practices at 301 N 8th St Fl 3, Springfield, IL 62701. The listed phone number is (217) 545-3262.

What is Ethan Nethery's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ethan Nethery enrolled in Medicare?

Yes. Ethan Nethery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Nethery was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.