DECATUR ORTHOPEDIC CENTER, LLC
NPI 1336586114
Orthopaedic Surgery in Mt. Zion, IL

Active since June 03, 2013
104 ASHLAND AVE., MT. ZION, IL 62549(217) 864-2665 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Decatur Orthopedic Center, Llc NPPES

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

DECATUR ORTHOPEDIC CENTER, LLC (NPI 1336586114) is a healthcare organization registered as an orthopaedic surgery in Mt. Zion, Illinois and active in the NPI registry since June 2013. The organization lists Jacob D Sams, Chief Managing Member, as its authorized official.

NPPES Registry Identity

NPI1336586114
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDECATUR ORTHOPEDIC CENTER, LLC
Location Address104 ASHLAND AVE.Mt. Zion, IL 62549
Mailing Address104 Ashland Ave.Mt. Zion, IL 62549 · (217) 864-2665
Organization SubpartNo
Authorized OfficialJacob D SamsChief Managing Member · (217) 864-2665
Enumeration DateJune 3, 2013
Last NPPES UpdateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
✔ NPI 1336586114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 125-052745
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
104 ASHLAND AVE., Mt. Zion, IL 62549

Other Identifiers 2

Other1154511517IL · Individual Npi
Other1730340498IL · Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Decatur Orthopedic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Decatur Orthopedic Center, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner5
Physical Therapist in Private Practice5
Orthopedic Surgery3
Podiatry2
Hand Surgery1

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1851951552
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1033843693
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629862982
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730767112
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1609139609
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1730340498
104 ASHLAND AVE.
Mt. Zion, IL 62549
(217) 864-2665
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912775438
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1154511517
104 ASHLAND
Mt Zion, IL 62549
(217) 864-2665
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245765296
104 E ASHLAND AVE
Mt Zion, IL 62549
(217) 864-2665
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1154848034
4855-57 EAST 36
Decatur, IL 62521
(217) 864-1264
✔ Accepts Medicare2.1 mi
Podiatry
NPI 1083957088
2 MEMORIAL DR STE 305
Decatur, IL 62526
(217) 876-4830
✔ PECOS✔ Accepts Medicare5.4 mi
Hand Surgery
NPI 1518306489
6000 N ALLEN RD
Peoria, IL 61614
(309) 691-1400
✔ PECOS✔ Accepts Medicare78 mi
Physical Therapist in Private Practice
NPI 1124330147
100 W CHESTNUT ST
Hinsdale, IL 60521
(630) 481-7350
✔ Accepts Medicare147 mi
Podiatry
NPI 1821618547
27100 CHARDON RD
Richmond Hts, OH 44143
(440) 494-6387
✔ PECOS✔ Accepts Medicare407 mi
Physical Therapist in Private Practice
NPI 1205976453
4401 E COLONIAL DR STE 107
Orlando, FL 32803
(407) 898-5060
886 mi
Orthopedic Surgery
NPI 1790448900
2021 HERNDON AVE STE 101
Clovis, CA 93611
(559) 797-4315
✔ PECOS✔ Accepts Medicare1,678 mi

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

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 Decatur Orthopedic Center, LLC's NPI number?

The NPI number for Decatur Orthopedic Center, LLC is 1336586114. It was assigned to this organization in the NPPES registry on June 3, 2013.

Where is Decatur Orthopedic Center, LLC located?

Decatur Orthopedic Center, LLC is located at 104 Ashland Ave., Mt. Zion, IL 62549. The listed phone number is (217) 864-2665.

What is Decatur Orthopedic Center, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Decatur Orthopedic Center, LLC enrolled in Medicare?

Yes. Decatur Orthopedic Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Decatur Orthopedic Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Decatur Orthopedic Center, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Physical Therapist in Private Practice (5) and Orthopedic Surgery (3). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Decatur Orthopedic Center, LLC was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.