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MICHAEL S MCNEAR MD
NPI 1619934304
Internal Medicine in Carrollton, IL

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
727 9TH ST, CARROLLTON, IL 62016(217) 942-6612(217) 942-6613 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Mar 17, 2021 (2 updates tracked since 2021).

About Michael S Mcnear Md NPPES

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

MICHAEL S MCNEAR MD (NPI 1619934304) is an individual internal medicine provider in Carrollton, Illinois, licensed in Illinois (036099944) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas H Boyd Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (1996).

NPPES Registry Identity

NPI1619934304
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL S MCNEARCredential: MD
Location Address727 9TH STCarrollton, IL 62016-1427
Mailing Address727 9th StCarrollton, IL 62016-1427 · (217) 942-6612 · Fax (217) 942-6613
Phone(217) 942-6612
Fax(217) 942-6613
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1996
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1619934304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036099944
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036099944 (IL)
727 9TH ST, Carrollton, IL 62016
Open in Google Maps ↗

Other Identifiers 2

OtherP01534027IL · Railroad Medicare
Medicaid036099944IL

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

Michael S Mcnear 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 ID9638060841
PECOS Enrollment IDI20081010000768
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 Michael Mcnear reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thomas H. Boyd Memorial Hospital
0.1 mi
Critical Access
800 SCHOOL ST
Carrollton, IL 62016
  • Reassigned Medicare billing, Illinois enrollment
  • 37 clinicians in this Medicare group
NPI 1811096811 (217) 942-6946
Vohra Wound Physicians Of Il, S.C.
230 mi
Family Medicine
121 S WILKE RD STE 236
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Vohra Wound Physicians Of Il Sc
  • 57 clinicians in this Medicare group
NPI 1790080505 (877) 866-7123

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas H Boyd Memorial Hospital

Critical Access Hospitals · Carrollton, IL
OwnershipGovernment - Local
CMS Certification Number141300
Location800 School StCarrollton, IL 62016 · Greene County
Emergency services

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62016 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.13
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims20 services$17.68 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims12 services$47.33 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
3 suppliers22 claims29 services$84.33 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims18 services$32.90 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.

ROGER A. SCHROEDER MD SC
Obstetrics & Gynecology (Gynecology)
727 9TH ST
CARROLLTON, IL 62016
Greene County (217) 942-6006
JOSE P PARCON M D S C
Family Medicine
727 9TH ST
CARROLLTON, IL 62016
Greene County (217) 942-6984
THOMAS H. BOYD MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
727 9TH ST
CARROLLTON, IL 62016
Greene County (217) 942-6612

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 Michael Mcnear's NPI number?

The NPI number for Michael Mcnear is 1619934304. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Michael Mcnear located?

Michael Mcnear practices at 727 9th St, Carrollton, IL 62016. The listed phone number is (217) 942-6612.

What is Michael Mcnear's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Mcnear enrolled in Medicare?

Yes. Michael Mcnear 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 Michael Mcnear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcnear reassigns Medicare benefits to 2 organizations: Thomas H. Boyd Memorial Hospital (Carrollton, IL) and Vohra Wound Physicians Of Il, S.C. (Arlington Heights, 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 Michael Mcnear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Mcnear affiliated with any hospitals?

According to CMS data, Michael Mcnear is affiliated with Thomas H Boyd Memorial Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mcnear was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.