MR. MARLON TAN MUNESES MD
NPI 1265422067
Family Medicine in Pana, IL

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
101 E 9TH ST, PANA, IL 62557(217) 562-2544(217) 562-6288 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Marlon Tan Muneses Md NPPES

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

MR. MARLON TAN MUNESES MD (NPI 1265422067) is an individual family medicine provider in Pana, Illinois, licensed in Illinois (036096593) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1265422067
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MARLON TAN MUNESESCredential: MD
Location Address101 E 9TH STPana, IL 62557-1716
Mailing Address101 E 9th StPana, IL 62557-1716 · (217) 562-2544 · Fax (217) 562-6288
Fax(217) 562-6288
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 24, 2005
Last NPPES UpdateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
NPI 1265422067 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 · 036096593
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.

101 E 9TH ST, Pana, IL 62557

Other Identifiers 9

Other5827807IL · Blue Cross Blue Shield
Other069003Health Alliane
Other1832428United Healthcare
Other080173568Railroad Medicare
Other109744Personal Care
Medicaid036096593IL
Other384581Healthlink
Other384581United Medical Resources
Other5369708Aetna

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

Mr. Marlon Tan Muneses Md 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 ID2668421660
PECOS Enrollment IDI20050118000021
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 3

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.
69 services51 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.
19 services19 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

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

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

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62557 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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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 suppliers46 claims105 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers19 claims22 services$1.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers20 claims20 services$43.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers26 claims26 services$105.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers31 claims79 services$43.62 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers25 claims25 services$23.43 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.

Physical Therapist
101 E 9TH ST
PANA, IL 62557
Internal Medicine (Clinical Cardiac Electrophysiology)
101 E 9TH ST
PANA, IL 62557
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Family Medicine
101 E 9TH ST, SUITE 105
PANA, IL 62557
Nurse Practitioner (Family)
101 E 9TH ST
PANA, IL 62557
Social Worker (Clinical)
101 E 9TH ST
PANA, IL 62557
Physical Therapist
101 E 9TH ST
PANA, IL 62557

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 Marlon Muneses's NPI number?

The NPI number for Marlon Muneses is 1265422067. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Marlon Muneses located?

Marlon Muneses practices at 101 E 9th St, Pana, IL 62557. The listed phone number is (217) 562-2544.

What is Marlon Muneses's specialty?

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

Is Marlon Muneses enrolled in Medicare?

Yes. Marlon Muneses 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 Marlon Muneses accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Marlon Muneses 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 Marlon Muneses affiliated with any hospitals?

According to CMS data, Marlon Muneses is affiliated with St Anthonys Memorial Hospital, Decatur Memorial Hospital, St Marys Hospital, Taylorville Memorial Hospital and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Marlon Muneses was last updated on February 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.