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ROBERT W FROST MD
NPI 1568449098
Family Medicine in Altamont, IL

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3 DO IT DR, ALTAMONT, IL 62411(618) 483-6131(618) 483-6718 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Mar 12, 2020, Dec 23, 2015 (3 updates tracked since 2015).

About Robert W Frost Md NPPES

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

ROBERT W FROST MD (NPI 1568449098) is an individual family medicine provider in Altamont, Illinois, licensed in Illinois (036-097024) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1568449098
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT W FROSTCredential: MD
Location Address3 DO IT DRAltamont, IL 62411-1135
Mailing Address3 Do It DrAltamont, IL 62411-1135 · (618) 483-6131 · Fax (618) 483-6718
Phone(618) 483-6131
Fax(618) 483-6718
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 27, 2005
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1568449098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-097024
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3 DO IT DR, Altamont, IL 62411
Open in Google Maps ↗

Other Identifiers 7

Other275198IL · Personal Care
Medicaid036097024IL
Other042155IL · Health Alliance
Other347560IL · Medicare Group Number
Other740352IL · Healthlink
Medicaid371329873005IL
OtherP00303541IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica 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 and accepts Medicare assignment

Robert W Frost Md 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 ID4082621966
PECOS Enrollment IDI20060317000305
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 Robert Frost reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sjl Health Systems Inc
30 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

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

Areas of Expertise CMS Part B claims

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
22 services17 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62411 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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims23 services$4.86 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier17 claims17 services$90.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier17 claims51 services$38.32 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers14 claims14 services$67.26 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers18 claims18 services$23.71 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers31 claims31 services$21.91 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 5

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

KORY M FLOOD APRN
Nurse Practitioner (Family)
3 DO IT DR
ALTAMONT, IL 62411
Effingham County (618) 483-6131
SPRINGFIELD CLINIC LLP
Clinical Medical Laboratory
3 DO IT DR
ALTAMONT, IL 62411
Effingham County (618) 483-6131
HSHS PRAIRIE, INC
Clinic/Center (Rural Health)
3 DO IT DR
ALTAMONT, IL 62411
Effingham County (618) 483-6131
MACKENZIE BUZZARD FNP
Nurse Practitioner (Family)
3 DO IT DR
ALTAMONT, IL 62411
Effingham County (618) 483-6131
KATHI L VAUGHN FNP-BC
Nurse Practitioner (Family)
3 DO IT DR
ALTAMONT, IL 62411
Effingham County (217) 528-7541

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 Robert Frost's NPI number?

The NPI number for Robert Frost is 1568449098. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Robert Frost located?

Robert Frost practices at 3 Do It Dr, Altamont, IL 62411. The listed phone number is (618) 483-6131.

What is Robert Frost's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Frost enrolled in Medicare?

Yes. Robert Frost 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 Robert Frost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Frost reassigns Medicare benefits to Sjl Health Systems Inc (Pana, 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 Robert Frost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Frost accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Medica and UnitedHealthcare list Robert Frost 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 Robert Frost affiliated with any hospitals?

According to CMS data, Robert Frost is affiliated with St Anthonys Memorial Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Robert Frost was last updated on March 7, 2023. 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.