MR. DONALD PAUL PRENTISS JR. M.D.
NPI 1275617839
Surgery in Aurora, IL

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
1221 N HIGHLAND AVE, AURORA, IL 60506(630) 859-8700 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1275617839
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. DONALD PAUL PRENTISS JR.Credential: M.D.
Location Address1221 N HIGHLAND AVEAurora, IL 60506-1404
Mailing Address1870 W Galena BlvdAurora, IL 60506-4356 · (630) 859-6700
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1994
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1275617839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in IL · 036-096029 Licensed in IN · 01074235A Licensed in TX · K8818
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1221 N HIGHLAND AVE, Aurora, IL 60506

Secondary Practice Location 1

Location 1305 W Jackson St Ste 300Carbondale, IL 62901-1474 · Phone (618) 457-3006 · Fax (618) 457-3008

Other Identifiers 6

Other7258113TX · Aetna Provider Number
Medicaid036096029IL
Other01074235AIN · License Number
OtherK8818TX · License Number
Other0072GKTX · Bcbs Provider Number
Other04515143IL · Bcbs#

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. 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.

PECOS PAC ID9436130507
PECOS Enrollment IDI20110104001195, I20150804005456, I20180731002434
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Physician 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.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 20

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

Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Orthopaedic Surgery
1221 N HIGHLAND AVE
AURORA, IL 60506
Surgery
1221 N HIGHLAND AVE
AURORA, IL 60506
Hospitalist
1221 N HIGHLAND AVE
AURORA, IL 60506
Internal Medicine (Cardiovascular Disease)
1221 N HIGHLAND AVE
AURORA, IL 60506
Urology
1221 N HIGHLAND AVE
AURORA, IL 60506
Obstetrics & Gynecology
1221 N HIGHLAND AVE
AURORA, IL 60506
Otolaryngology
1221 N HIGHLAND AVE
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.

What insurance does Donald Prentiss accept?

Health plans from Blue Cross and Blue Shield of Alabama, 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 with the weekly NPPES data releases published by CMS.