DR. DENNIS D COSTERISAN D.O.
NPI 1578565701
Family Medicine in Decatur, IL

Q: What is Dennis Costerisan's NPI number?

The NPI number for Dennis Costerisan is 1578565701. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Dennis Costerisan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dennis Costerisan was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment

320 E CENTRAL AVE, DECATUR, IL 62521(217) 877-9117(217) 877-3078 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dennis D Costerisan D.o. NPPES

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

DR. DENNIS D COSTERISAN D.O. (NPI 1578565701) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (036071025) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1984).

NPPES Registry Identity

NPI1578565701

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DENNIS D COSTERISANCredential: D.O.

Location Address320 E CENTRAL AVEDecatur, IL 62521-4665

Mailing Address320 E Central AveDecatur, IL 62521-4665 · (217) 877-9117 · Fax (217) 728-2580

Phone(217) 877-9117

Fax(217) 877-3078

Sole ProprietorYes

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1984

Enumeration DateJune 1, 2005

Last NPPES UpdateJanuary 25, 2022

NPPES CertifiedJanuary 25, 2022

✔ NPI 1578565701 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 · 036071025

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.

320 E CENTRAL AVE, Decatur, IL 62521

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Other Identifiers 4

Other080105720IL · Railroad Medicare

Other178026IL · Healthlink

Other0007005197IL · Blue Cross Blue Shield

Medicaid0360710252IL

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

Dr. Dennis D Costerisan D.o. 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 ID8123104544

PECOS Enrollment IDI20100619000116

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 62521 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

12 suppliers43 claims93 services$4.75 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers29 claims31 services$0.69 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier14 claims14 services$12.28 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier17 claims17 services$34.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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