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DR. JOHN ANDREW SHOUDEL DPM
NPI 1760480750
Podiatrist - Foot & Ankle Surgery in Springfield, IL

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
2070 W ILES AVE, SPRINGFIELD, IL 62704(217) 698-6228(217) 698-7241 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Andrew Shoudel Dpm NPPES

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

DR. JOHN ANDREW SHOUDEL DPM (NPI 1760480750) is an individual foot & ankle surgery provider in Springfield, Illinois, licensed in Illinois (IL016004443) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of William M. Scholl College Of Podiatric Medicine (1990).

NPPES Registry Identity

NPI1760480750
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JOHN ANDREW SHOUDELCredential: DPM
Location Address2070 W ILES AVESpringfield, IL 62704-4174
Mailing Address747 N Rutledge StSpringfield, IL 62702-6700 · (217) 652-3816
Phone(217) 698-6228
Fax(217) 698-7241
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1990
Enumeration DateJuly 13, 2005
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1760480750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · IL016004443
2070 W ILES AVE, Springfield, IL 62704
Open in Google Maps ↗

Other Identifiers 1

Medicaid016-004443IL

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

Dr. John Andrew Shoudel Dpm 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 ID6305979311
PECOS Enrollment IDI20100728000248
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.

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.
87 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
81 services81 patients
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.
61 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services23 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
30 services14 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
27 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$59.28 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
2 suppliers11 claims62 services$37.35 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 2

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

PRAIRIE PODIATRY L.L.C.
Podiatrist
2070 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-6228
RICHARD LEE BROWN D.P.M.
Podiatrist (Foot & Ankle Surgery)
2070 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-6228

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 John Shoudel's NPI number?

The NPI number for John Shoudel is 1760480750. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is John Shoudel located?

John Shoudel practices at 2070 W Iles Ave, Springfield, IL 62704. The listed phone number is (217) 698-6228.

What is John Shoudel's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Shoudel enrolled in Medicare?

Yes. John Shoudel 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.

Is John Shoudel affiliated with any hospitals?

According to CMS data, John Shoudel is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for John Shoudel was last updated on September 27, 2023. 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.