DR. RICHARD ROBERT DILORENZO DO
NPI 1528090164
Internal Medicine - Gastroenterology in Decatur, IL

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
1730 E LAKE SHORE DR, DECATUR, IL 62521(217) 329-1000 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Mar 12, 2025, Jun 25, 2024 and 2 more (5 updates tracked since 2016).

About Dr. Richard Robert Dilorenzo Do NPPES

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

DR. RICHARD ROBERT DILORENZO DO (NPI 1528090164) is an individual gastroenterology provider in Decatur, Illinois, licensed in Illinois (036085835) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Marys Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1528090164
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RICHARD ROBERT DILORENZOCredential: DO
Location Address1730 E LAKE SHORE DRDecatur, IL 62521-3809
Mailing Address1730 E Lake Shore DrDecatur, IL 62521-3809 · (217) 329-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 4, 20255 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1528090164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 036085835
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1730 E LAKE SHORE DR, Decatur, IL 62521

Secondary Practice Locations 4

Location 11 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121
Location 2130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000
Location 3404 Lincoln DrHerrin, IL 62948-3789 · Phone (618) 993-0056 · Fax (618) 993-0752
Location 47950 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (260) 435-7001

Other Identifiers 1

Medicaid036085835IL

Accepted Insurance

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. Richard Robert Dilorenzo Do 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 ID4789633900
PECOS Enrollment IDI20050114000328
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 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.

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.
34 services34 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
11 services11 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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.

Other Providers at the Same Location NPPES 11

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

Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Infectious Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Pulmonary Disease)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Rheumatology)
1730 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Surgery
1730 E LAKE SHORE DR
DECATUR, IL 62521
Internal Medicine (Gastroenterology)
1730 E LAKE SHORE DR
DECATUR, IL 62521

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 Richard Dilorenzo's NPI number?

The NPI number for Richard Dilorenzo is 1528090164. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Richard Dilorenzo located?

Richard Dilorenzo practices at 1730 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 329-1000.

What is Richard Dilorenzo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Richard Dilorenzo enrolled in Medicare?

Yes. Richard Dilorenzo 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.

What insurance does Richard Dilorenzo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Richard Dilorenzo 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 Richard Dilorenzo affiliated with any hospitals?

According to CMS data, Richard Dilorenzo is affiliated with St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Richard Dilorenzo was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.