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DR. DOMINIC LEE PHEMISTER MD
NPI 1306339189
Emergency Medicine in Carbondale, IL

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 457-0469 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dominic Lee Phemister Md NPPES

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

DR. DOMINIC LEE PHEMISTER MD (NPI 1306339189) is an individual emergency medicine provider in Carbondale, Illinois, licensed in Illinois (036.155060) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Southern Illinois University School Of Medicine (2018).

NPPES Registry Identity

NPI1306339189
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOMINIC LEE PHEMISTERCredential: MD
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 549-0721
Fax(618) 457-0469
Sole ProprietorYes
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateJuly 2, 2021
NPPES CertifiedJuly 2, 2021
✔ NPI 1306339189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036.155060✔ Licensed in IL · 125.072370
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
405 W JACKSON ST, Carbondale, IL 62901
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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. Dominic Lee Phemister 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.

PECOS PAC ID7214284538
PECOS Enrollment IDI20210625001598
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
416 services371 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
141 services134 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
71 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services47 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

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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.

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.

MR. LUKAS WARD PA
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
RUPAL PARMAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
SCOTT A. COOPER M.D.
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Jackson County (618) 549-0721
LONG HA HUYNH M.D., PH.D.
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. BRITNEY NICOLE ARNOLD PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MR. DAN EDWARD MILLER CRNA
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
AMANDA M RYDEN MD
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. NICOLE A JOHNSON PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721

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 Dominic Phemister's NPI number?

The NPI number for Dominic Phemister is 1306339189. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Dominic Phemister located?

Dominic Phemister practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Dominic Phemister's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dominic Phemister enrolled in Medicare?

Yes. Dominic Phemister 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 Dominic Phemister affiliated with any hospitals?

According to CMS data, Dominic Phemister is affiliated with St Johns Hospital, St Marys Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Dominic Phemister was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.