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THOMAS L FRANZEN MD
NPI 1609895499
Family Medicine in Rantoul, IL

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
1540 E. GROVE STREET, RANTOUL, IL 61866(217) 893-7700(217) 893-7801 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas L Franzen Md NPPES

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

THOMAS L FRANZEN MD (NPI 1609895499) is an individual family medicine provider in Rantoul, Illinois, licensed in Illinois (036094375) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1993).

NPPES Registry Identity

NPI1609895499
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS L FRANZENCredential: MD
Location Address1540 E. GROVE STREETRantoul, IL 61866
Mailing AddressP.o. Box 6002Urbana, IL 61803-6002 · (217) 326-8300
Phone(217) 893-7700
Fax(217) 893-7801
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 21, 2013
✔ NPI 1609895499 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 · 036094375
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.

1540 E. GROVE STREET, Rantoul, IL 61866
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Other Identifiers 6

Other053321001IL · Dmerc
Medicare UPING46255
Medicare UPING46255IL
Medicare PINL65247IL
Medicare PINIL3270019IL
Medicaid6447860007IL

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

Thomas L Franzen 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 ID5193854180
PECOS Enrollment IDI20100601000584
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
368 services227 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
219 services153 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
49 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
39 services39 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61866 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 3

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
6 suppliers25 claims79 services$5.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims29 services$90.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier26 claims29 services$32.52 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 4

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

ERICH N SLOCUM D.O.
Family Medicine
1540 E. GROVE STREET
RANTOUL, IL 61866
Champaign County (217) 893-7700
ERICA NICOLE SUTTON PA-C
Physician Assistant
1540 E. GROVE STREET
RANTOUL, IL 61866
Champaign County (217) 893-7700
BRUCE W KAPLAN MD
Family Medicine
1540 E. GROVE STREET
RANTOUL, IL 61866
Champaign County (217) 893-7700
NASER JAHANBIGLAR PA
Physician Assistant
1540 E. GROVE STREET
RANTOUL, IL 61866
Champaign County (217) 893-7700

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 Thomas Franzen's NPI number?

The NPI number for Thomas Franzen is 1609895499. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Thomas Franzen located?

Thomas Franzen practices at 1540 E. Grove Street, Rantoul, IL 61866. The listed phone number is (217) 893-7700.

What is Thomas Franzen's specialty?

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

Is Thomas Franzen enrolled in Medicare?

Yes. Thomas Franzen 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.

Is Thomas Franzen affiliated with any hospitals?

According to CMS data, Thomas Franzen is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Franzen was last updated on November 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.