BRYAN J. KELLENBERGER M.D.
NPI 1275733073
Family Medicine in Sherman, IL

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
400 SAINT JOHNS DR, SHERMAN, IL 62684(217) 528-7541(217) 525-0044 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bryan J. Kellenberger M.d. NPPES

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

BRYAN J. KELLENBERGER M.D. (NPI 1275733073) is an individual family medicine provider in Sherman, Illinois, licensed in Illinois (036125353) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2010).

NPPES Registry Identity

NPI1275733073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRYAN J. KELLENBERGERCredential: M.D.
Location Address400 SAINT JOHNS DRSherman, IL 62684-9779
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541 · Fax (217) 525-0044
Fax(217) 525-0044
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2010
Enumeration DateJuly 19, 2007
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1275733073 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 · 036125353
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.

400 SAINT JOHNS DR, Sherman, IL 62684

Other Identifiers 1

Medicaid036125353IL

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

Bryan J. Kellenberger 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 ID8729268552
PECOS Enrollment IDI20110210000525
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 13

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
478 services222 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
271 services206 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
220 services180 patients
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.
158 services110 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.
132 services101 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.
103 services103 patients

Hospital Affiliations CMS Care Compare 3

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62684 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers30 claims55 services$5.56 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims12 services$24.65 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers13 claims13 services$20.06 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 3

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

Internal Medicine
400 SAINT JOHNS DR
SHERMAN, IL 62684
Clinical Medical Laboratory
400 SAINT JOHNS DR
SHERMAN, IL 62684
Non-Pharmacy Dispensing Site
400 SAINT JOHNS DR
SHERMAN, IL 62684

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 Bryan Kellenberger's NPI number?

The NPI number for Bryan Kellenberger is 1275733073. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Bryan Kellenberger located?

Bryan Kellenberger practices at 400 Saint Johns Dr, Sherman, IL 62684. The listed phone number is (217) 528-7541.

What is Bryan Kellenberger's specialty?

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

Is Bryan Kellenberger enrolled in Medicare?

Yes. Bryan Kellenberger 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.

Is Bryan Kellenberger affiliated with any hospitals?

According to CMS data, Bryan Kellenberger is affiliated with St Johns Hospital, Memorial Medical Center and Abraham Lincoln Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Kellenberger was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.