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BRIAN LEE QUARTON M.D.
NPI 1417951401
Family Medicine in Gillespie, IL

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
715 BROADWAY ST, GILLESPIE, IL 62033(217) 839-4491 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brian Lee Quarton M.d. NPPES

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

BRIAN LEE QUARTON M.D. (NPI 1417951401) is an individual family medicine provider in Gillespie, Illinois and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Southern Illinois University School Of Medicine (1995).

NPPES Registry Identity

NPI1417951401
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN LEE QUARTONCredential: M.D.
Location Address715 BROADWAY STGillespie, IL 62033-1166
Mailing Address715 Broadway StGillespie, IL 62033-1166 · (217) 839-4491
Phone(217) 839-4491
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1995
Enumeration DateJune 8, 2005
Last NPPES UpdateApril 10, 2008
✔ NPI 1417951401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
715 BROADWAY ST, Gillespie, IL 62033
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Other Identifiers 2

Medicare PINL94666IL
Medicare UPING08478IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Lee Quarton 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 ID5991613887
PECOS Enrollment IDI20110209000813
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Quarton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlinville Area Hospital Association
Same address
Family Medicine
715 BROADWAY ST
Gillespie, IL 62033
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Macoupin Family Practice Centers LLP
  • 5 clinicians in this Medicare group
NPI 1699899070 (217) 839-4491
St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F
11 mi
Critical Access
1215 FRANCISCAN DR
Litchfield, IL 62056
  • Reassigned Medicare billing, Illinois enrollment
  • 60 clinicians in this Medicare group
NPI 1326057076 (217) 324-8500

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

Areas of Expertise CMS Part B claims 5

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.

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.
66 services56 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.
40 services40 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
37 services34 patients
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.
19 services14 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Carlinville Area Hospital

Critical Access Hospitals · Carlinville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62033 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 19

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
8 suppliers39 claims87 services$6.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims24 services$1.19 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers15 claims15 services$27.90 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers14 claims14 services$80.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers12 claims26 services$29.95 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
5 suppliers18 claims18 services$47.90 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 9

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

MACOUPIN FAMILY PRACTICE CENTER, LLP
Family Medicine
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491
JASON K MANTHEI PA
Physician Assistant
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491
MARSHA A WRIGHT PA-C
Physician Assistant
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491
JACLYN JOY HAKE PA-C
Physician Assistant (Medical)
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-2689
CARLINVILLE AREA HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491
BRUCE FRANK WEBER M.D.
Family Medicine
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491
CARLINVILLE AREA HOSPITAL ASSOCIATION
Family Medicine
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491
MS. HOLLIE TRETTENERO FNP-C
Nurse Practitioner
715 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-4491

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 Brian Quarton's NPI number?

The NPI number for Brian Quarton is 1417951401. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Brian Quarton located?

Brian Quarton practices at 715 Broadway St, Gillespie, IL 62033. The listed phone number is (217) 839-4491.

What is Brian Quarton's specialty?

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

Is Brian Quarton enrolled in Medicare?

Yes. Brian Quarton 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.

Which organizations bill Medicare for Brian Quarton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Quarton reassigns Medicare benefits to 2 organizations: Carlinville Area Hospital Association (Gillespie, IL) and St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (Litchfield, IL). Each 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 Brian Quarton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Quarton accept?

Health plans from Ambetter Health and UnitedHealthcare list Brian Quarton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Quarton affiliated with any hospitals?

According to CMS data, Brian Quarton is affiliated with Memorial Medical Center, Sarah Bush Lincoln Health Center, Anderson Hospital, Carlinville Area Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Brian Quarton was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.