DR. SUZANNE DEPAULO M.D. - NPI 1487834206 - Family Medicine in Shiloh, IL

Q: What is Suzanne Depaulo's NPI number?

The NPI number for Suzanne Depaulo is 1487834206. It was assigned to this individual provider in the NPPES registry on November 8, 2007.

Q: What is Suzanne Depaulo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Suzanne Depaulo was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Suzanne Depaulo M.d. NPPES

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

DR. SUZANNE DEPAULO M.D. (NPI 1487834206) is an individual family medicine provider in Shiloh, Illinois, licensed in Colorado (DR.0053278) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487834206

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SUZANNE DEPAULOCredential: M.D.

Location Address1190 FORTUNE BLVDShiloh, IL 62269-7358

Mailing Address2417 Oakgrove CirScott Afb, IL 62225-1447 · (787) 720-5956

Phone(314) 286-6988

Sole ProprietorNo

Enumeration DateNovember 8, 2007

Last NPPES UpdateApril 11, 20242 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1487834206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0053278

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.

1190 FORTUNE BLVD, Shiloh, IL 62269

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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 (PECOS)

Dr. Suzanne Depaulo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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.

Other Providers at the Same Location NPPES 7

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

THERESA ANN SCHULTZ RN

Registered Nurse