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ALLISON T. ALUMBAUGH
NPI 1396148458
Nurse Practitioner - Family in Mattoon, IL

Active since October 03, 2014PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
200 RICHMOND AVE E STE 2, MATTOON, IL 61938(217) 234-7000(217) 238-5484 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2024, Mar 10, 2023, Jan 20, 2020 and 2 more (5 updates tracked since 2018).

About Allison T. Alumbaugh NPPES

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

ALLISON T. ALUMBAUGH (NPI 1396148458) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209-012293) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396148458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON T. ALUMBAUGH
Location Address200 RICHMOND AVE E STE 2Mattoon, IL 61938-4652
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 234-7000
Fax(217) 238-5484
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 3, 2014
Last NPPES UpdateJuly 25, 20245 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1396148458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209-012293
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-012293 (IL)
200 RICHMOND AVE E STE 2, Mattoon, IL 61938
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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

Allison T. Alumbaugh 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 ID2466777115
PECOS Enrollment IDI20150220001948
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 3

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.

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.
248 services120 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.
64 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims41 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims13 services$1.05 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier11 claims36 services$25.63 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier14 claims14 services$74.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
1 supplier11 claims11 services$25.07 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier13 claims13 services$18.48 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 3

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

JEANELLE Y MURPHY D.O
Family Medicine
200 RICHMOND AVE E STE 2
MATTOON, IL 61938
Coles County (217) 234-7000
KARA JOLLY MD
Internal Medicine
200 RICHMOND AVE E STE 2
MATTOON, IL 61938
Coles County (217) 234-7000
DR. DANIELLE NICOLE WALKER M.D
Family Medicine
200 RICHMOND AVE E STE 2
MATTOON, IL 61938
Coles County (217) 234-7000

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 Allison Alumbaugh's NPI number?

The NPI number for Allison Alumbaugh is 1396148458. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Allison Alumbaugh located?

Allison Alumbaugh practices at 200 Richmond Ave E Ste 2, Mattoon, IL 61938. The listed phone number is (217) 234-7000.

What is Allison Alumbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Allison Alumbaugh enrolled in Medicare?

Yes. Allison Alumbaugh 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 Allison Alumbaugh affiliated with any hospitals?

According to CMS data, Allison Alumbaugh is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Allison Alumbaugh was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.