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SHAD BEATY
NPI 1538241591
Pediatrics in Normal, IL

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
2005 JACOBSSEN DR, NORMAL, IL 61761(309) 319-7360 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Normal, 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

NPI1538241591
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSHAD BEATY
Location Address2005 JACOBSSEN DRNormal, IL 61761-6287
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(309) 319-7360
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 19, 2006
Last NPPES UpdateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1538241591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-106215
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.
2005 JACOBSSEN DR, Normal, IL 61761
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Other Identifiers 1

Medicaid036106215IL

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

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.

PECOS PAC ID6103066998
PECOS Enrollment IDI20130627000558
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 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 5

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

MOLLY LUNDY M.D.
Pediatrics
2005 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 319-7360
PREMIER MEDICAL GROUP, LLC
Orthopaedic Surgery
2005 JACOBSSEN DR, SUITE A
NORMAL, IL 61761
McLean County (309) 807-2233
BLOOMINGTON PERFUSIONIST INC.
Durable Medical Equipment & Medical Supplies
2005 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 888-4000
SONIA GAJULA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2005 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 319-7360
UROHEALTH INSTITUTE, L.L.C.
Clinic/Center (Ambulatory Surgical)
2005 JACOBSSEN DR, SUITE A
NORMAL, IL 61761
McLean County (309) 888-4000

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 2005 Jacobssen Dr, Normal, IL 61761. The listed phone number is (309) 319-7360.

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.

When was this NPI record last updated?

The NPPES record for Shad Beaty was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.