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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. TIMOTHY MARK BIAGINI M.D.
NPI 1568618544
Specialist in Macomb, IL

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment
515 E GRANT ST STE 211, MACOMB, IL 61455(309) 836-3387 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Jun 3, 2025, Sep 22, 2021 (3 updates tracked since 2021).

About Dr. Timothy Mark Biagini M.d. NPPES

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

DR. TIMOTHY MARK BIAGINI M.D. (NPI 1568618544) is an individual specialist in Macomb, Illinois, licensed in Illinois (036131897) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1568618544
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. TIMOTHY MARK BIAGINICredential: M.D.
Location Address515 E GRANT ST STE 211Macomb, IL 61455-3378
Mailing Address515 E Grant St Ste 211Macomb, IL 61455-3378
Phone(309) 836-3387
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateAugust 11, 2008
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1568618544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036131897
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X · License 72215 (IL)
515 E GRANT ST STE 211, Macomb, IL 61455
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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

Dr. Timothy Mark Biagini M.d. 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 ID1951547512
PECOS Enrollment IDI20180920000748
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 Reassignments

2

Medicare enrollment records show Timothy Biagini reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcdonough County Hospital District
0.1 mi
General Acute Care Hospital
525 E GRANT ST
Macomb, IL 61455
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1609180082 (Illinois)
  • 55 clinicians in this Medicare group
NPI 1629227665 (309) 833-4101
Mason Hospital District
34 mi
Critical Access
615 N PROMENADE ST
Havana, IL 62644
  • Reassigned Medicare billing, Illinois enrollment
  • 56 clinicians in this Medicare group
NPI 1902849649 (309) 543-4431

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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
305 services303 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.
221 services218 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
86 services82 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
83 services83 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
48 services48 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
24 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%207 patients4/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%551 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
3%201 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%423 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 89% · 107 patients
100%107 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers11 claims190 services$8.43 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 3

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

OLIVIA M WHITE MD
Surgery
515 E GRANT ST STE 211
MACOMB, IL 61455
McDonough County (309) 833-3706
MELISSA L POUNDERS NP-C
Nurse Practitioner (Family)
515 E GRANT ST STE 211
MACOMB, IL 61455
McDonough County (309) 836-3387
WESTERN ILLINOIS SURGICAL ASSOCIATES, S.C.
Specialist
515 E GRANT ST STE 211
MACOMB, IL 61455
McDonough County (309) 833-3706

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 Timothy Biagini's NPI number?

The NPI number for Timothy Biagini is 1568618544. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Timothy Biagini located?

Timothy Biagini practices at 515 E Grant St Ste 211, Macomb, IL 61455. The listed phone number is (309) 836-3387.

What is Timothy Biagini's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Timothy Biagini enrolled in Medicare?

Yes. Timothy Biagini 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 organizations bill Medicare for Timothy Biagini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Biagini reassigns Medicare benefits to 2 organizations: Mcdonough County Hospital District (Macomb, IL) and Mason Hospital District (Havana, IL). Each 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 Timothy Biagini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Timothy Biagini affiliated with any hospitals?

According to CMS data, Timothy Biagini is affiliated with Mc Donough District Hospital, Memorial Hospital and Osf Holy Family Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Biagini 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 35 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.