KURT A MADDOCK MD
NPI 1740253707
Preventive Medicine - Undersea and Hyperbaric Medicine in Murphysboro, IL

Q: What is Kurt Maddock's NPI number?

The NPI number for Kurt Maddock is 1740253707. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Kurt Maddock's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 2083P0011X.

Q: When was this NPI record last updated?

The NPPES record for Kurt Maddock was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 09, 2006PECOS EnrolledAccepts Medicare Assignment

75.73/100

CMS Quality Rating

2 S HOSPITAL DR, MURPHYSBORO, IL 62966(618) 684-1035(618) 684-1036 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2021, Jul 23, 2021, Jun 29, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Kurt A Maddock Md NPPES

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

KURT A MADDOCK MD (NPI 1740253707) is an individual undersea and hyperbaric medicine provider in Murphysboro, Illinois, licensed in Illinois (036.144660) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740253707

Entity TypeIndividualMale

Primary Taxonomy2083P0011X

Provider Legal NameKURT A MADDOCKCredential: MD

Location Address2 S HOSPITAL DRMurphysboro, IL 62966-3333

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 684-1035

Fax(618) 684-1036

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1985

Enumeration DateFebruary 9, 2006

Last NPPES UpdateAugust 3, 20214 updates tracked since enumeration

NPPES CertifiedAugust 3, 2021

✔ NPI 1740253707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0011X

License✔ Licensed in IL · 036.144660

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Also ListedSurgeryTaxonomy 208600000X · License 036144660 (IL), 01038293A (IN)

2 S HOSPITAL DR, Murphysboro, IL 62966

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1520 S 7th StVincennes, IN 47591-1038 · Phone (812) 885-3627 · Fax (812) 885-3019

Location 2315 S 13th StHerrin, IL 62948-3661 · Phone (618) 988-6157 · Fax (618) 942-2210

Other Identifiers 3

Other000000599251IN · Anthem

Medicaid100318820AIN

OtherP00658239IN · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Kurt A Maddock 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 ID648184192

PECOS Enrollment IDI20180515001899

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

Medicare enrollment records show Kurt Maddock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Illinois Medical Services, Nfp

7.8 mi

Internal Medicine

1239 E MAIN ST
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
702 clinicians in this Medicare group

NPI 1770656837 (618) 457-5200

St. Mary's Hospital, Centralia, Illinois

53 mi

Anesthesiology

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: St Marys Hospital Centralia Illinois
392 clinicians in this Medicare group

NPI 1477097871 (618) 436-6056

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

114 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62966 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.

75.73/100

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

Scored as part of a group practice

Quality

63.09

Promoting Interoperability

100

Improvement Activities

Cost

45.26

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier21 claims2,200 services$0.10 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

3 suppliers34 claims3,280 services$0.36 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims315 services$20.19 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier29 claims1,054 services$7.11 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims258 services$9.33 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims600 services$3.13 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.

MOHAMMED GUBA M.D.

Hospitalist