MAURICE DEON DALE
NPI 1639757958
Emergency Medicine in O Fallon, IL
About Maurice Deon Dale NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAURICE DEON DALE (NPI 1639757958) is an individual emergency medicine provider in O Fallon, Illinois, licensed in Illinois (036170338) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Maurice Deon Dale 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.
Medicare Billing Reassignments
4Medicare enrollment records show Maurice Dale reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shiloh, IL 62269
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Cepamerica Illinois LLP
- 982 clinicians in this Medicare group
Rushville, IL 62681
- Reassigned Medicare billing, Illinois enrollment
- 72 clinicians in this Medicare group
Augusta, IL 62311
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1730139031 (Illinois)
- 78 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Illinois enrollment
- 48 clinicians in this Medicare group
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 3
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 Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Josephs Hospital
Acute Care Hospitals · Breese, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILMemorial Hospital
Critical Access Hospitals · Carthage, ILSt Joseph's Hospital
Critical Access Hospitals · Highland, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
O FALLON, IL 62269
O FALLON, IL 62269
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 Maurice Dale's NPI number?
The NPI number for Maurice Dale is 1639757958. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Maurice Dale located?
Maurice Dale practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.
What is Maurice Dale's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Maurice Dale enrolled in Medicare?
Yes. Maurice Dale 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 Maurice Dale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maurice Dale reassigns Medicare benefits to 4 organizations: Cep America Illinois LLP (Shiloh, IL), Schuyler County Hospital District (Rushville, IL), Memorial Hospital Association (Augusta, IL) and Central Prairie Physicians PLLC (Lubbock, TX). 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 Maurice Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maurice Dale accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Maurice Dale 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 Maurice Dale affiliated with any hospitals?
According to CMS data, Maurice Dale is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital, Memorial Hospital and St Joseph's Hospital.
When was this NPI record last updated?
The NPPES record for Maurice Dale was last updated on August 8, 2024. 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.
# Maurice Deon Dale · NPI 1639757958
Emergency Medicine physician in O Fallon, Illinois. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1639757958 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036170338 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 SAINT ELIZABETH BLVD, O Fallon, IL 62269-1099
- **Phone:** (618) 234-2120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cep America Illinois LLP (NPI 1134587637, Shiloh, IL); Schuyler County Hospital District (NPI 1013969112, Rushville, IL); Memorial Hospital Association (NPI 1275979031, Augusta, IL); Central Prairie Physicians PLLC (NPI 1821884750, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639757958) · Data from the CMS NPPES public registry.