DR. DANIEL A LIESEN MD
NPI 1386747731
Surgery - Trauma Surgery in Quincy, IL

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
927 BROADWAY ST, QUINCY, IL 62301(217) 214-3447(217) 214-5819 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2021, Dec 5, 2019, Sep 21, 2019 (3 updates tracked since 2019).

About Dr. Daniel A Liesen Md NPPES

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

DR. DANIEL A LIESEN MD (NPI 1386747731) is an individual trauma surgery provider in Quincy, Illinois, licensed in Illinois (036115999) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Gurnee.

NPPES Registry Identity

NPI1386747731
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. DANIEL A LIESENCredential: MD
Location Address927 BROADWAY STQuincy, IL 62301-2719
Mailing Address1005 Broadway StQuincy, IL 62301-2834 · (217) 214-3447 · Fax (217) 214-5819
Fax(217) 214-5819
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2001
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
NPI 1386747731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in IL · 036115999
Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License 036115999 (IL)
927 BROADWAY ST, Quincy, IL 62301

Secondary Practice Location 1

Location 120 Tower Ct Ste AGurnee, IL 60031-5711 · Phone (847) 505-7965 · Fax (847) 244-3560

Other Identifiers 2

Medicaid036115999IL
Other036115999IL · 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. Daniel A Liesen 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 ID1658458823
PECOS Enrollment IDI20080411000560
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services90 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
69 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blessing Hospital

Acute Care Hospitals · Quincy, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier32 claims560 services$11.00 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier32 claims210 services$281.69 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier32 claims210 services$8.07 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier32 claims210 services$25.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
927 BROADWAY ST, SUITE 220
QUINCY, IL 62301
Physical Therapist
927 BROADWAY ST, SUITE 100
QUINCY, IL 62301
Urology
927 BROADWAY ST, SUITE 303
QUINCY, IL 62301
Family Medicine
927 BROADWAY ST, SUITE 120
QUINCY, IL 62301
Physical Therapist
927 BROADWAY ST, SUITE 100
QUINCY, IL 62301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
927 BROADWAY ST, SUITE 205
QUINCY, IL 62301
Physical Therapist
927 BROADWAY ST, SUITE 100
QUINCY, IL 62301
Family Medicine
927 BROADWAY ST
QUINCY, IL 62301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386747731, enumerated as an "individual" on September 07, 2006.

The provider is located at 927 BROADWAY ST QUINCY, IL 62301 and the phone number is (217) 214-3447.

Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.

Daniel Liesen is affiliated with: BLESSING HOSPITAL and MEMORIAL HOSPITAL.