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MAURICE DEON DALE
NPI 1639757958
Emergency Medicine in O Fallon, IL

Active since March 30, 2021PECOS Enrolled
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Mar 30, 2021 (2 updates tracked since 2021).

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 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639757958
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMAURICE DEON DALE
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address525 E Market StAkron, OH 44304-1619
Phone(618) 234-2120
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1639757958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036170338
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269
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Secondary Practice Locations 2

Location 112866 Troxler AveHighland, IL 62249-2806 · Phone (618) 651-2600
Location 29515 Holy Cross LnBreese, IL 62230-3618 · Phone (618) 526-5325

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maurice Deon Dale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
167 services159 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services19 patients

Physician 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.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
KATHRYN LOHMAN PA-S
Student in an Organized Health Care Education/Training Program
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
MS. SHAMBRA CULLUM APN
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (217) 994-1485
ATA U. SIDDIQUI M.D.
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
DR. VINCENT JOSEPH DUENAS MD
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CAITLIN ALONZO
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
JENNIFER L CRIPPS CRNA
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120

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 enrollment system.

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 23 months 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.