DR. JAMES MICHAEL BOCK M.D.
NPI 1285643825
Family Medicine in Decatur, IL

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
4965 E LOST BRIDGE RD, DECATUR, IL 62521(217) 864-5531 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 29, 2021 (2 updates tracked since 2021).

About Dr. James Michael Bock M.d. NPPES

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

DR. JAMES MICHAEL BOCK M.D. (NPI 1285643825) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036-077533) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1987).

NPPES Registry Identity

NPI1285643825
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES MICHAEL BOCKCredential: M.D.
Location Address4965 E LOST BRIDGE RDDecatur, IL 62521-5139
Mailing Address113 E Seiberling StBlue Mound, IL 62513-0260 · (217) 692-2151 · Fax (217) 692-2121
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1987
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
NPI 1285643825 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 · 036-077533
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.
4965 E LOST BRIDGE RD, Decatur, IL 62521

Other Identifiers 2

Medicaid036-077533IL
Other036-077533IL · State License

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. James Michael Bock 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 ID7618030560
PECOS Enrollment IDI20090120000527
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 64

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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
7,878 services5,930 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.
6,764 services5,059 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
6,091 services5,079 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
5,443 services4,237 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
3,743 services2,780 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
2,436 services2,059 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Nurse Practitioner
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Nurse Practitioner
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Nurse Practitioner (Family)
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Family Medicine
4965 E LOST BRIDGE RD
DECATUR, IL 62521
Physician Assistant
4965 E LOST BRIDGE RD
DECATUR, IL 62521

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 James Bock's NPI number?

The NPI number for James Bock is 1285643825. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is James Bock located?

James Bock practices at 4965 E Lost Bridge Rd, Decatur, IL 62521. The listed phone number is (217) 864-5531.

What is James Bock's specialty?

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

Is James Bock enrolled in Medicare?

Yes. James Bock 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 James Bock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list James Bock 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 James Bock was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.