GREGORY DETERS M.D.
NPI 1497861702
Family Medicine in Mattoon, IL

Q: What is Gregory Deters's NPI number?

The NPI number for Gregory Deters is 1497861702. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Gregory Deters'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 Gregory Deters was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment

91.8/100

CMS Quality Rating

200 RICHMOND AVE E, MATTOON, IL 61938(217) 234-7000(217) 238-5484 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Gregory Deters M.d. NPPES

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

GREGORY DETERS M.D. (NPI 1497861702) is an individual family medicine provider in Mattoon, Illinois, licensed in Illinois (036-087539) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Southern Illinois University School Of Medicine (1991).

NPPES Registry Identity

NPI1497861702

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGREGORY DETERSCredential: M.D.

Location Address200 RICHMOND AVE EMattoon, IL 61938-4652

Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4693 · (217) 234-6055

Phone(217) 234-7000

Fax(217) 238-5484

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1991

Enumeration DateAugust 21, 2006

Last NPPES UpdateSeptember 21, 2018

✔ NPI 1497861702 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 · 036-087539

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.

200 RICHMOND AVE E, Mattoon, IL 61938

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Accepted Insurance

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

Gregory Deters 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 ID7517990641

PECOS Enrollment IDI20050919000033

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 Reassignment

Medicare enrollment records show Gregory Deters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center

4.3 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

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 8

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

657 services149 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

271 services111 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.

209 services166 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

124 services117 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.

122 services101 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

59 services57 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

Quality

75.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 43

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

11 suppliers92 claims231 services$5.62 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers42 claims43 services$0.91 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers22 claims22 services$24.49 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315

DME-Orthotic Devices · category DF000N

1 supplier15 claims15 services$25.51 avg. paid by Medicare

Irrigation tray with bulb or piston syringe, any purpose A4320

DME-Medical/Surgical Supplies · category DA000N

2 suppliers33 claims85 services$4.83 avg. paid by Medicare

Urinary catheter anchoring device, adhesive skin attachment, each A4333

DME-Orthotic Devices · category DF000N

2 suppliers28 claims336 services$2.15 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

2 suppliers24 claims24 services$4.77 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

4 suppliers46 claims66 services$9.38 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier13 claims24 services$6.44 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.44 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier15 claims1,672 services$0.37 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers11 claims500 services$0.23 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers13 claims13 services$46.18 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

2 suppliers19 claims321 services$20.08 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims420 services$7.08 avg. paid by Medicare

Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims169 services$3.25 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

2 suppliers30 claims339 services$9.37 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

2 suppliers12 claims190 services$2.06 avg. paid by Medicare

Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6234

DME-Medical/Surgical Supplies · category DA023N

1 supplier13 claims126 services$6.30 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers21 claims1,796 services$0.37 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers17 claims34 services$1.60 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

1 supplier13 claims26 services$1.33 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

1 supplier13 claims13 services$0.60 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

2 suppliers14 claims14 services$1.26 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers25 claims25 services$109.26 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers14 claims14 services$44.80 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers28 claims28 services$23.25 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers17 claims17 services$19.58 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers30 claims56 services$2.67 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers11 claims11 services$71.60 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier18 claims18 services$10.93 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers24 claims24 services$65.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers47 claims47 services$20.39 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier26 claims26 services$18.73 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier29 claims29 services$8.95 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier25 claims25 services$56.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers105 claims105 services$112.05 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers42 claims42 services$37.26 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers34 claims4,625 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers18 claims1,980 services$0.08 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers64 claims65 services$27.76 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

7 suppliers53 claims53 services$203.31 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers41 claims41 services$24.13 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 2

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

KIRAN JOAG M.D.

Internal Medicine

200 RICHMOND AVE E
MATTOON, IL 61938

Coles County (217) 234-7400

LORI A. NOTTMEYER APN

Nurse Practitioner (Family)

200 RICHMOND AVE E
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 Gregory Deters's NPI number?

The NPI number for Gregory Deters is 1497861702. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Gregory Deters located?

Gregory Deters practices at 200 Richmond Ave E, Mattoon, IL 61938. The listed phone number is (217) 234-7000.

What is Gregory Deters's specialty?

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

Is Gregory Deters enrolled in Medicare?

Yes. Gregory Deters 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 organization bills Medicare for Gregory Deters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Deters reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). The 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 Gregory Deters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Deters accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gregory Deters 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 Gregory Deters affiliated with any hospitals?

According to CMS data, Gregory Deters is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Gregory Deters was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.