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DR. JONATHAN RODERICK DUTT MD
NPI 1497277263
Internal Medicine in Decatur, IL

Active since July 12, 2017PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE, DECATUR, IL 62526(217) 545-8000 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2020, Jul 12, 2017 (2 updates tracked since 2017).

About Dr. Jonathan Roderick Dutt Md NPPES

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

DR. JONATHAN RODERICK DUTT MD (NPI 1497277263) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (036-151311) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497277263
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JONATHAN RODERICK DUTTCredential: MD
Location Address102 W KENWOOD AVEDecatur, IL 62526-4368
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7578
Phone(217) 545-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 12, 2017
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
✔ NPI 1497277263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036-151311
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 125.071354 (IL)
102 W KENWOOD AVE, Decatur, IL 62526
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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

Dr. Jonathan Roderick Dutt 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 ID8224309950
PECOS Enrollment IDI20200724000787
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.

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.
94 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services34 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services26 patients

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
5 suppliers21 claims37 services$4.45 avg. paid by Medicare
Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress E0303
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$134.59 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier13 claims13 services$30.35 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$79.44 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.93 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.

MRS. VIRGINIA ANN KERWIN R.D. ,CDE, LDN
Dietitian, Registered
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 545-8000
DRS GRAHAM & GRAHAM LTD
Podiatrist (Foot & Ankle Surgery)
102 W KENWOOD AVE, SUITE 150
DECATUR, IL 62526
Macon County (217) 875-3668
BROOKLYNN JUNE ALDRIDGE
Community Health Worker
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 972-5857
MISS ROBYN PLOESSL DPT
Physical Therapist
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-2690
MICHAEL STEPHEN KOCH MS, ATC
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820
TAMMY KAY MUNCH PA-C
Physician Assistant
102 W KENWOOD AVE, SUITE 110
DECATUR, IL 62526
Macon County (217) 876-6880
KYLIE VANDYKE
Social Worker (Clinical)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 520-1047
MR. JEFFREY BRUCE ROUNDS M.S., A.T.C., L.A.T
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820

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 Jonathan Dutt's NPI number?

The NPI number for Jonathan Dutt is 1497277263. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Jonathan Dutt located?

Jonathan Dutt practices at 102 W Kenwood Ave, Decatur, IL 62526. The listed phone number is (217) 545-8000.

What is Jonathan Dutt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Dutt enrolled in Medicare?

Yes. Jonathan Dutt 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 Jonathan Dutt affiliated with any hospitals?

According to CMS data, Jonathan Dutt is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Dutt was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.