SHAD BEATY
NPI 1538241591
Pediatrics in Morton, IL
About Shad Beaty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAD BEATY (NPI 1538241591) is an individual pediatrics provider in Morton, Illinois, licensed in Illinois (036-106215) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Shad Beaty 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.
Medicare Billing Reassignment
Medicare enrollment records show Shad Beaty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 clinicians in this Medicare group
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 61550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Shad Beaty's NPI number?
The NPI number for Shad Beaty is 1538241591. It was assigned to this individual provider in the NPPES registry on October 19, 2006.
Where is Shad Beaty located?
Shad Beaty practices at 134 W Adams St, Morton, IL 61550. The listed phone number is (309) 291-3380.
What is Shad Beaty's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shad Beaty enrolled in Medicare?
Yes. Shad Beaty 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 Shad Beaty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shad Beaty reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, 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 Shad Beaty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shad Beaty was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.
# Shad Beaty · NPI 1538241591
Pediatrics physician in Morton, Illinois. Individual provider, active in the CMS NPPES registry since October 19, 2006.
## Identity
- **NPI:** 1538241591 (Entity type: Individual)
- **Enumerated:** October 19, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036-106215 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 134 W ADAMS ST, Morton, IL 61550-1802
- **Phone:** (309) 291-3380
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Springfield Clinic, LLP (NPI 1780638478, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Medicaid 036106215 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1538241591) · Data from the CMS NPPES public registry.