ORLANDO J. ICAZA M.D.
NPI 1669579991
Surgery in Springfield, IL
About Orlando J. Icaza M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORLANDO J. ICAZA M.D. (NPI 1669579991) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (036-102519) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Orlando J. Icaza M.d. 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
2Medicare enrollment records show Orlando Icaza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1215974415 (Illinois)
- 735 clinicians in this Medicare group
Litchfield, IL 62056
- Reassigned Medicare billing, Illinois enrollment
- 60 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 4
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILMemorial Medical Center
Acute Care Hospitals · Springfield, ILAbraham Lincoln Memorial Hospital
Critical Access Hospitals · Lincoln, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 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.
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
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 Orlando Icaza's NPI number?
The NPI number for Orlando Icaza is 1669579991. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Orlando Icaza located?
Orlando Icaza practices at 900 N. 1st Street, Springfield, IL 62702. The listed phone number is (217) 528-7541.
What is Orlando Icaza's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Orlando Icaza enrolled in Medicare?
Yes. Orlando Icaza 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 Orlando Icaza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Orlando Icaza reassigns Medicare benefits to 2 organizations: Springfield Clinic, LLP (Springfield, IL) and St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (Litchfield, 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 Orlando Icaza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Orlando Icaza affiliated with any hospitals?
According to CMS data, Orlando Icaza is affiliated with St Johns Hospital, Memorial Medical Center and Abraham Lincoln Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Orlando Icaza was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Orlando J. Icaza, M.D. · NPI 1669579991
Surgery physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1669579991 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 036-102519 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 N. 1ST STREET, Springfield, IL 62702-3749
- **Phone:** (217) 528-7541 · **Fax:** (217) 789-9716
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Springfield Clinic, LLP (NPI 1780638478, Springfield, IL); St Francis Hospital Of The Hospital Sisters Of The Third Order Of St F (NPI 1326057076, Litchfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** May 22, 2020
- **Other identifiers:** Medicaid 036102519 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1669579991) · Data from the CMS NPPES public registry.