PHILLIP D ALWARD M.D.
NPI 1699735415
Ophthalmology in Decatur, IL

Q: What is Phillip Alward's NPI number?

The NPI number for Phillip Alward is 1699735415. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Phillip Alward's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Alward was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

77.65/100

CMS Quality Rating

304 W HAY ST, SUITE 311, DECATUR, IL 62526(217) 698-3030(217) 698-4728 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phillip D Alward M.d. NPPES

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

PHILLIP D ALWARD M.D. (NPI 1699735415) is an individual ophthalmology provider in Decatur, Illinois, licensed in Illinois (036054803) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1977).

NPPES Registry Identity

NPI1699735415

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NamePHILLIP D ALWARDCredential: M.D.

Location Address304 W HAY ST, SUITE 311Decatur, IL 62526-6328

Mailing Address2020 W Iles AvneueSpringfield, IL 62704-7015 · (217) 698-3030 · Fax (217) 698-4728

Phone(217) 698-3030

Fax(217) 698-4728

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1977

Enumeration DateMarch 24, 2006

Last NPPES UpdateApril 5, 2017

✔ NPI 1699735415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036054803

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

304 W HAY ST, Decatur, IL 62526

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Other Identifiers 4

Medicaid036054803IL

Medicare UPINC45427IL

Other180022789IL · Rr Medicare

Medicare NSC1116720001IL

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

Phillip D Alward 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.

PECOS PAC ID1759359169

PECOS Enrollment IDI20080304000618

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.

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

122 services82 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

53 services28 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

39 services11 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

30 services27 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

27 services26 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

77.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.05

Promoting Interoperability

100

Improvement Activities

Cost

40.45

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

4 suppliers11 claims11 services$60.27 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 20

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

DR. STEPHEN R GOETTER M.D.

Internal Medicine

304 W HAY ST, STE 312
DECATUR, IL 62526

Macon County (217) 876-5600

DAVID W BAUMBERGER M.D.

Internal Medicine

304 W HAY ST, STE 312
DECATUR, IL 62526

Macon County (217) 876-5600

JMS HAND ASSOCIATES, S.C.

Durable Medical Equipment & Medical Supplies

304 W HAY ST, SUITE 215
DECATUR, IL 62526

Macon County (217) 875-4263

DR. JEFFERY M SMITH M.D.

Orthopaedic Surgery (Hand Surgery)

304 W HAY ST, SUITE 215
DECATUR, IL 62526

Macon County (247) 875-4263

DR. TYLER NOEL JONES M.D.

Orthopaedic Surgery

304 W HAY ST, STE 111
DECATUR, IL 62526

Macon County (217) 872-8205

CENTER FOR SIGHT CENTRAL IL I SC

Optometrist

304 W HAY ST, SUITE 311
DECATUR, IL 62526

Macon County (217) 877-5050

DR. EDMUND WILLIAM RAYCRAFT M.D.

Orthopaedic Surgery

304 W HAY ST, SUITE 111
DECATUR, IL 62526

Macon County (217) 872-8200

M STEPHEN HUSS M.D.,S.C.

Orthopaedic Surgery

304 W HAY ST, SUITE 213
DECATUR, IL 62526

Macon County (217) 875-1518

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 Phillip Alward's NPI number?

The NPI number for Phillip Alward is 1699735415. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Phillip Alward located?

Phillip Alward practices at 304 W Hay St Suite 311, Decatur, IL 62526. The listed phone number is (217) 698-3030.

What is Phillip Alward's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Phillip Alward enrolled in Medicare?

Yes. Phillip Alward 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.

When was this NPI record last updated?

The NPPES record for Phillip Alward was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.