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DR. EDWARD DORAN MD
NPI 1285622340
Internal Medicine - Gastroenterology in Princeton, IL

Active since October 12, 2005PECOS Enrolled
18.9/100
CMS Quality Rating
530 PARK AVE E, SUITE 7, PRINCETON, IL 61356(815) 875-8666(815) 872-0487 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Edward Doran Md NPPES

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

DR. EDWARD DORAN MD (NPI 1285622340) is an individual gastroenterology provider in Princeton, Illinois, licensed in Illinois (036062499) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Peru.

NPPES Registry Identity

NPI1285622340
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. EDWARD DORANCredential: MD
Location Address530 PARK AVE E, SUITE 7Princeton, IL 61356-3901
Mailing Address530 Park Ave E, Suite 7Princeton, IL 61356-3901 · (815) 875-8666 · Fax (815) 872-0487
Phone(815) 875-8666
Fax(815) 872-0487
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateApril 13, 2019
✔ NPI 1285622340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036062499
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
530 PARK AVE E, Princeton, IL 61356
Open in Google Maps ↗

Secondary Practice Location 1

Location 11310 Maple Dr Ste 7Peru, IL 61354-1361 · Phone (815) 223-1666 · Fax (815) 872-0487

Other Identifiers 1

Medicaid036062499IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Doran 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.

Areas of Expertise CMS Part B claims 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
159 services156 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
133 services133 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
103 services103 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
53 services53 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
46 services46 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61356 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
$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.

18.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost63.01

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.

DEBRA K AUSTIN
Physical Therapist
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 876-4494
ALAN DUMONTIER MD
Emergency Medicine
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (904) 805-1300
OSF HEALTHCARE SYSTEM
General Acute Care Hospital (Critical Access)
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-2811
KETAN R PATEL
Internal Medicine
530 PARK AVE E, SUITE 101
PRINCETON, IL 61356
Bureau County (815) 872-1221
KETAN PATEL MD
Internal Medicine
530 PARK AVE E, STE 101
PRINCETON, IL 61356
Bureau County (815) 872-1221
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-2811
PRINCETON EMERGENCY SERVICES, LLC
Nurse Practitioner
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-2811
LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD
Clinic/Center
530 PARK AVE E, SUITE 205
PRINCETON, IL 61356
Bureau County (815) 872-9491

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 Edward Doran's NPI number?

The NPI number for Edward Doran is 1285622340. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Edward Doran located?

Edward Doran practices at 530 Park Ave E Suite 7, Princeton, IL 61356. The listed phone number is (815) 875-8666.

What is Edward Doran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Edward Doran enrolled in Medicare?

Yes. Edward Doran is registered in the Medicare PECOS enrollment system.

What insurance does Edward Doran accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Edward Doran 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.

When was this NPI record last updated?

The NPPES record for Edward Doran was last updated on April 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.