NATHAN OLDHAM M.D.
NPI 1780883843
Family Medicine in Eldorado, IL

Q: What is Nathan Oldham's NPI number?

The NPI number for Nathan Oldham is 1780883843. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Nathan Oldham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Oldham was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 17, 2007PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

1201 PINE ST, ELDORADO, IL 62930(618) 297-9665(618) 297-9664 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nathan Oldham M.d. NPPES

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

NATHAN OLDHAM M.D. (NPI 1780883843) is an individual family medicine provider in Eldorado, Illinois, licensed in Illinois (036125954) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Southern Illinois University School Of Medicine (2007).

NPPES Registry Identity

NPI1780883843

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNATHAN OLDHAMCredential: M.D.

Location Address1201 PINE STEldorado, IL 62930-1634

Mailing Address1201 Pine StEldorado, IL 62930-1634 · (618) 297-9665 · Fax (618) 297-9664

Phone(618) 297-9665

Fax(618) 297-9664

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2007

Enumeration DateJuly 17, 2007

Last NPPES UpdateDecember 4, 2013

✔ NPI 1780883843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036125954✔ Licensed in IN · 11013781

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1201 PINE ST, Eldorado, IL 62930

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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

Nathan Oldham 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 ID4587724299

PECOS Enrollment IDI20081125000155, I20101116000478

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

77 services37 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

57 services42 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

53 services38 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

45 services45 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140184

Location3333 W DeyoungMarion, IL 62959 · Williamson County

Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141324

Location1201 Pine StreetEldorado, IL 62930 · Saline County

Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141326

Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County

Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62930 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

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.

95.01/100

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

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 28

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers67 claims140 services$5.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers30 claims32 services$0.99 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers11 claims11 services$37.78 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers30 claims30 services$112.51 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers24 claims46 services$40.26 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers16 claims45 services$18.96 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers17 claims17 services$73.19 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers29 claims29 services$24.16 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers36 claims36 services$22.15 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers49 claims198 services$2.77 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers12 claims12 services$13.05 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers47 claims47 services$61.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier22 claims22 services$18.64 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier13 claims13 services$131.55 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier34 claims34 services$17.91 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers35 claims35 services$7.36 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers62 claims62 services$52.17 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

1 supplier16 claims31 services$6.85 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers138 claims138 services$114.54 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers80 claims80 services$37.76 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers17 claims1,769 services$0.02 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers37 claims3,540 services$0.09 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$24.66 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers27 claims27 services$10.78 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers30 claims30 services$207.67 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$38.20 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

2 suppliers30 claims30 services$189.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

7 suppliers40 claims40 services$24.06 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.

FAITH MARIAH HOOPER SLP

Speech-Language Pathologist

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 273-3361

MRS. CHRISTINE LUCILLE RABEN LCSW

Social Worker (Clinical)

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 273-3361

DR. DAVID A GUNZEL D.P.M.

Podiatrist

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 297-9665

MR. JANNA REDDY PATHI MD

Surgery

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 273-3361

ELDORADO EMERGENCY GROUP PC

Emergency Medicine

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 273-3361

DEACONESS ILLINOIS SPECIALTY CLINIC, INC.

Dermatology

1201 PINE ST
ELDORADO, IL 62930

Saline County (812) 450-6815

MELANIE NICOLE THARP MS, RD

Dietitian, Registered

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 273-3361

CROSSROADS EMERGENCY PHYSICIANS LLP

Emergency Medicine

1201 PINE ST
ELDORADO, IL 62930

Saline County (618) 273-3361

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 Nathan Oldham's NPI number?

The NPI number for Nathan Oldham is 1780883843. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Nathan Oldham located?

Nathan Oldham practices at 1201 Pine St, Eldorado, IL 62930. The listed phone number is (618) 297-9665.

What is Nathan Oldham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nathan Oldham enrolled in Medicare?

Yes. Nathan Oldham 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 Nathan Oldham affiliated with any hospitals?

According to CMS data, Nathan Oldham is affiliated with Herrin Hospital, Heartland Regional Medical Center, Ferrell Hospital Community Foundations, Hamilton Memorial Hospital and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Nathan Oldham was last updated on December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.