MARC SCHOLES NP
NPI 1518327550
Nurse Practitioner - Family in Pana, IL

Active since March 03, 2016PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
101 E 9TH ST, PANA, IL 62557(217) 562-2544(217) 562-6228 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2021, Feb 12, 2021, Mar 3, 2016 (3 updates tracked since 2016).

About Marc Scholes Np NPPES

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

MARC SCHOLES NP (NPI 1518327550) is an individual family provider in Pana, Illinois, licensed in Illinois (209013957) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Breese.

NPPES Registry Identity

NPI1518327550
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARC SCHOLESCredential: NP
Location Address101 E 9TH STPana, IL 62557-1716
Mailing Address101 E 9th StPana, IL 62557-1716 · (217) 562-2544 · Fax (217) 562-6228
Fax(217) 562-6228
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 3, 2016
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1518327550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209013957
101 E 9TH ST, Pana, IL 62557

Secondary Practice Location 1

Location 19401 Holy Cross LnBreese, IL 62230-3510 · Phone (618) 526-5948 · Fax (217) 718-3816

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

Marc Scholes Np 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 ID7618274630
PECOS Enrollment IDI20160318000232
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.

Hospital Affiliations CMS Care Compare 3

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

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

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62557 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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers13 claims26 services$1.68 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers26 claims26 services$51.44 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
3 suppliers22 claims22 services$108.33 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 suppliers15 claims2,280 services$0.09 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
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$24.19 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.

Physical Therapist
101 E 9TH ST
PANA, IL 62557
Internal Medicine (Clinical Cardiac Electrophysiology)
101 E 9TH ST
PANA, IL 62557
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Physical Therapy Assistant
101 E 9TH ST
PANA, IL 62557
Family Medicine
101 E 9TH ST, SUITE 105
PANA, IL 62557
Nurse Practitioner (Family)
101 E 9TH ST
PANA, IL 62557
Family Medicine
101 E 9TH ST
PANA, IL 62557
Social Worker (Clinical)
101 E 9TH ST
PANA, IL 62557

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 Marc Scholes's NPI number?

The NPI number for Marc Scholes is 1518327550. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Marc Scholes located?

Marc Scholes practices at 101 E 9th St, Pana, IL 62557. The listed phone number is (217) 562-2544.

What is Marc Scholes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marc Scholes enrolled in Medicare?

Yes. Marc Scholes 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 Marc Scholes affiliated with any hospitals?

According to CMS data, Marc Scholes is affiliated with Decatur Memorial Hospital, Memorial Medical Center and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Marc Scholes was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.