MR. DONALD PAUL PRENTISS JR. M.D.
NPI 1275617839
Surgery in Aurora, IL
About Mr. Donald Paul Prentiss Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DONALD PAUL PRENTISS JR. M.D. (NPI 1275617839) is an individual surgery provider in Aurora, Illinois, licensed in Illinois (036-096029) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains a secondary practice location in Carbondale.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 6
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
Mr. Donald Paul Prentiss Jr. M.d. 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
11Medicare enrollment records show Donald Prentiss reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portage, IN 46368
- Reassigned Medicare billing, Indiana enrollment
- 177 clinicians in this Medicare group
Freeport, IL 61032
- Reassigned Medicare billing, Illinois enrollment
- 391 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: St Marys Hospital Centralia Illinois
- 392 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 296 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 284 clinicians in this Medicare group
Carbondale, IL 62901
- Reassigned Medicare billing, Illinois enrollment
- 702 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 410 clinicians in this Medicare group
Waycross, GA 31501
- Reassigned Medicare billing, Georgia enrollment
- 76 clinicians in this Medicare group
Waycross, GA 31501
- Reassigned Medicare billing, Georgia enrollment
- 26 clinicians in this Medicare group
Harker Heights, TX 76548
- Reassigned Medicare billing, Texas enrollment
- 89 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Regional Hlth Center
Acute Care Hospitals · Mount Vernon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AURORA, IL 60506
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 Donald Prentiss's NPI number?
The NPI number for Donald Prentiss is 1275617839. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Donald Prentiss located?
Donald Prentiss practices at 1221 N Highland Ave, Aurora, IL 60506. The listed phone number is (630) 859-8700.
What is Donald Prentiss's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Donald Prentiss enrolled in Medicare?
Yes. Donald Prentiss 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 Donald Prentiss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donald Prentiss reassigns Medicare benefits to 11 organizations: Porter Physician Services LLC (Portage, IN), Freeport Regional Health Care Foundation (Freeport, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Physician Services Corporation Of Southern Illinois Inc. (Mount Vernon, IL), Good Samaritan Regional Health Center (Mount Vernon, IL) and 6 more organizations, listed in the Medicare section above. 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 Donald Prentiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donald Prentiss accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas, CareSource and UnitedHealthcare list Donald Prentiss 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 Donald Prentiss affiliated with any hospitals?
According to CMS data, Donald Prentiss is affiliated with Good Samaritan Regional Hlth Center.
When was this NPI record last updated?
The NPPES record for Donald Prentiss was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Donald Paul Prentiss Jr., M.D. · NPI 1275617839
Surgery physician in Aurora, Illinois. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1275617839 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 036-096029 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 N HIGHLAND AVE, Aurora, IL 60506-1404
- **Phone:** (630) 859-8700
## 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:** 11 organizations under Medicare reassignment (form CMS-855R): Porter Physician Services LLC (NPI 1457566309, Portage, IN); Freeport Regional Health Care Foundation (NPI 1457337016, Freeport, IL); St. Mary's Hospital, Centralia, Illinois (NPI 1477097871, Centralia, IL); Physician Services Corporation Of Southern Illinois Inc. (NPI 1831101807, Mount Vernon, IL); Good Samaritan Regional Health Center (NPI 1487758801, Mount Vernon, IL); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** November 30, 2021
- **Other identifiers:** Other 7258113 (TX); Medicaid 036096029 (IL); Other 01074235A (IN); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1275617839) · Data from the CMS NPPES public registry.