DR. EDWARD DORAN MD
NPI 1285622340
Internal Medicine - Gastroenterology in Princeton, IL
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, is affiliated with Osf Saint Clare Medical Center, and maintains a secondary practice location in Peru.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Edward Doran 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILPhysician 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.
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.
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.
PRINCETON, IL 61356
PRINCETON, IL 61356
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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.
Is Edward Doran affiliated with any hospitals?
According to CMS data, Edward Doran is affiliated with Osf Saint Clare Medical Center.
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.
# Dr. Edward Doran, MD · NPI 1285622340
Gastroenterology physician in Princeton, Illinois. Individual provider, active in the CMS NPPES registry since October 12, 2005.
## Identity
- **NPI:** 1285622340 (Entity type: Individual)
- **Enumerated:** October 12, 2005
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 036062499 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 PARK AVE E, SUITE 7, Princeton, IL 61356-3901
- **Phone:** (815) 875-8666 · **Fax:** (815) 872-0487
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** April 13, 2019
- **Other identifiers:** Medicaid 036062499 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1285622340) · Data from the CMS NPPES public registry.