DR. JOHN MICHAEL CERNY M.D.
NPI 1407852825
Family Medicine in Anna, IL

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
55.81/100
CMS Quality Rating

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Michael Cerny M.d. NPPES

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

DR. JOHN MICHAEL CERNY M.D. (NPI 1407852825) is an individual family medicine provider in Anna, Illinois, licensed in Illinois (036066934) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of University College Of Medicine (1982).

NPPES Registry Identity

NPI1407852825
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN MICHAEL CERNYCredential: M.D.
Location Address515 N MAIN STAnna, IL 62906-1668
Mailing Address515 N Main StAnna, IL 62906-1668 · (618) 833-3300
Sole ProprietorYes
Medical School CMSUniversity College Of MedicineGraduated 1982
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 20, 2011
NPI 1407852825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036066934
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

515 N MAIN ST, Anna, IL 62906

Other Identifiers 9

Other080007449IL · R.r. Medicare Prov. #
OtherN8453IL · Ghp Prov. #
Medicare UPINC-44982IL
Medicaid036066934IL
Medicare PIN770020
Other109812IL · Healthlink Provider #
Other029385IL · Health Alliance Prov. #
Other09100030IL · Bcbs Provider Number
Other371217285IL · Tax Id

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. John Michael Cerny M.d. 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 ID6709867930
PECOS Enrollment IDI20040525001033
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 27

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 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.
1,022 services351 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
627 services258 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.
525 services242 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
296 services296 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
252 services252 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
222 services160 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62906 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.

55.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.91
Improvement Activities0
Cost64.15

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
8%92 patients
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%75 patients
Breast Cancer Screening
54%230 patients3/55-star benchmark: 93%
Cervical Cancer Screening
4%176 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
0%108 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
45%618 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
77%493 patients4/55-star benchmark: 91%
Dementia: Cognitive Assessment
0%24 patients
Diabetes: Eye Exam
0%194 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%194 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
81%5,655 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
56%553 patients3/55-star benchmark: 100%
HIV Screening
2%600 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
20%1,122 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%844 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%2,437 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 2% · 1,057 patients
Patients screened: 9% · 1,057 patients
12%89 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%314 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

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
10 suppliers98 claims224 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers42 claims67 services$1.11 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims156 services$8.43 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
6 suppliers17 claims17 services$59.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers19 claims19 services$23.42 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers21 claims22 services$19.05 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 5

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

Surgery
515 N MAIN ST, SUITE D
ANNA, IL 62906
Durable Medical Equipment & Medical Supplies
515 N MAIN ST, SUITE E
ANNA, IL 62906
Surgery
515 N MAIN ST
ANNA, IL 62906
Family Medicine
515 N MAIN ST
ANNA, IL 62906
Family Medicine
515 N MAIN ST, SUITE C
ANNA, IL 62906

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 John Cerny's NPI number?

The NPI number for John Cerny is 1407852825. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is John Cerny located?

John Cerny practices at 515 N Main St, Anna, IL 62906. The listed phone number is (618) 833-3300.

What is John Cerny's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Cerny enrolled in Medicare?

Yes. John Cerny 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 John Cerny affiliated with any hospitals?

According to CMS data, John Cerny is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center and Anna Hospital Corporation D/B/A Union County Hospital.

When was this NPI record last updated?

The NPPES record for John Cerny was last updated on January 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.