MARY LUDOLPH MD
NPI 1376580225
Radiology - Diagnostic Radiology in Springfield, IL

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
3050 MONTVALE DR STE A, SPRINGFIELD, IL 62704(217) 726-8096 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ludolph Md NPPES

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

MARY LUDOLPH MD (NPI 1376580225) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (036114091) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1999).

NPPES Registry Identity

NPI1376580225
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMARY LUDOLPHCredential: MD
Location Address3050 MONTVALE DR STE ASpringfield, IL 62704-6924
Mailing Address2040 W Iles Ave, Suite CSpringfield, IL 62704-4183 · (217) 789-0668
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1999
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 4, 2015
NPI 1376580225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 036114091
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3050 MONTVALE DR STE A, Springfield, IL 62704

Other Identifiers 3

Medicare UPINK22010
Medicaid036114091IL
Medicare UPINI40381

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

Mary Ludolph 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 ID8729011838
PECOS Enrollment IDI20050917000449
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 69

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
642 services564 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
492 services492 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
492 services492 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
404 services390 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
271 services262 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
230 services230 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141322
Location200 Stahlhut DriveLincoln, IL 62656 · Logan County
Emergency services

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704
Radiology (Diagnostic Radiology)
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704

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 Mary Ludolph's NPI number?

The NPI number for Mary Ludolph is 1376580225. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Mary Ludolph located?

Mary Ludolph practices at 3050 Montvale Dr Ste A, Springfield, IL 62704. The listed phone number is (217) 726-8096.

What is Mary Ludolph's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mary Ludolph enrolled in Medicare?

Yes. Mary Ludolph 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 Mary Ludolph affiliated with any hospitals?

According to CMS data, Mary Ludolph is affiliated with St Johns Hospital, Memorial Medical Center, Abraham Lincoln Memorial Hospital, Taylorville Memorial Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Ludolph was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.