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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LORETTA A BAUSTIAN D.O.
NPI 1538153408
Pediatrics in Quincy, IL

Active since September 07, 2005PECOS Enrolled
927 BROADWAY ST, QUINCY, IL 62301(217) 224-6423(217) 223-9370 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Jul 3, 2024 (2 updates tracked since 2024).

About Dr. Loretta A Baustian D.o. NPPES

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

DR. LORETTA A BAUSTIAN D.O. (NPI 1538153408) is an individual pediatrics provider in Quincy, Illinois, licensed in Illinois (036101329) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538153408
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LORETTA A BAUSTIANCredential: D.O.
Location Address927 BROADWAY STQuincy, IL 62301-2719
Mailing Address1005 Broadway St Ste 300Quincy, IL 62301-2834 · (217) 223-8400 · Fax (217) 277-3960
Phone(217) 224-6423
Fax(217) 223-9370
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1538153408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036101329
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
927 BROADWAY ST, Quincy, IL 62301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Loretta A Baustian D.o. 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.

Medicare Billing Reassignment

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

Blessing Hospital
Same address
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 363 clinicians in this Medicare group
NPI 1114471737 (217) 223-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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.

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.

JONATHAN WILFORD DO
Family Medicine
927 BROADWAY ST, SUITE 121
QUINCY, IL 62301
Adams County (217) 224-6423
ERIC E. SCHULTZ LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
ALAN RICHARD OBERT MSW, LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
CHARONE TOLBERT MD
Pediatrics
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-6423
DR. MAGGIE LOUISE SEARIGHT LAMBORN M.D.
Psychiatry & Neurology (Psychiatry)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
KATHERINE THOMURE LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
DR. AHMED JOUAN
Psychiatry & Neurology (Neurology)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 214-6240
MICHAEL ANTHONY TROUP JR. LPC
Counselor (Professional)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453

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 Loretta Baustian's NPI number?

The NPI number for Loretta Baustian is 1538153408. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Loretta Baustian located?

Loretta Baustian practices at 927 Broadway St, Quincy, IL 62301. The listed phone number is (217) 224-6423.

What is Loretta Baustian's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Loretta Baustian enrolled in Medicare?

Yes. Loretta Baustian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Loretta Baustian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Baustian reassigns Medicare benefits to Blessing Hospital (Quincy, 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 Loretta Baustian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loretta Baustian accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Loretta Baustian 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.

When was this NPI record last updated?

The NPPES record for Loretta Baustian was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.