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ROBIN ANDRIA PUNSALAN M.D.
NPI 1326367236
Pediatrics in Byron, IL

Active since May 18, 2010PECOS Enrolled
109 N FRANKLIN ST, BYRON, IL 61010(815) 234-3900 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robin Andria Punsalan M.d. NPPES

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

ROBIN ANDRIA PUNSALAN M.D. (NPI 1326367236) is an individual pediatrics provider in Byron, Illinois, licensed in Maryland (0304) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326367236
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameROBIN ANDRIA PUNSALANCredential: M.D.
Location Address109 N FRANKLIN STByron, IL 61010-1441
Mailing Address109 N Franklin StByron, IL 61010-1441 · (815) 234-3900
Phone(815) 234-3900
Sole ProprietorYes
Enumeration DateMay 18, 2010
Last NPPES UpdateAugust 16, 2013
✔ NPI 1326367236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · 0304
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
109 N FRANKLIN ST, Byron, IL 61010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robin Andria Punsalan M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Robin Punsalan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group
63 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61010 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

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

DR. RACHEL NICOLE MYERS M.D.
Family Medicine
109 N FRANKLIN ST
BYRON, IL 61010
Ogle County (815) 234-3900

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 Robin Punsalan's NPI number?

The NPI number for Robin Punsalan is 1326367236. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Robin Punsalan located?

Robin Punsalan practices at 109 N Franklin St, Byron, IL 61010. The listed phone number is (815) 234-3900.

What is Robin Punsalan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Robin Punsalan enrolled in Medicare?

Yes. Robin Punsalan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robin Punsalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robin Punsalan reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robin Punsalan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robin Punsalan accept?

Health plans from Dean Health Plan list Robin Punsalan 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 Robin Punsalan was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.