DR. SUZANNE E ALT DO
NPI 1811995566
Family Medicine in Mount Vernon, IL

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
4230 LINCOLNSHIRE DR STE G, MOUNT VERNON, IL 62864(618) 244-6770(618) 244-6772 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 29, 2020, Jul 13, 2016 (2 updates tracked since 2016).

About Dr. Suzanne E Alt Do NPPES

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

DR. SUZANNE E ALT DO (NPI 1811995566) is an individual family medicine provider in Mount Vernon, Illinois, licensed in Missouri (R9G62) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811995566
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUZANNE E ALTCredential: DO
Location Address4230 LINCOLNSHIRE DR STE GMount Vernon, IL 62864-2189
Mailing Address1715 W Worley St Ste BColumbia, MO 65203-1015 · (660) 341-3877 · Fax (573) 875-4879
Fax(618) 244-6772
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1980
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
NPI 1811995566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · R9G62
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.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License R9G62 (MO)
4230 LINCOLNSHIRE DR STE G, Mount Vernon, IL 62864

Other Names 1

Former Name (1)Dr. Suzanne Alt Jarboe D.o

Secondary Practice Locations 2

Location 11704 N 24th St Ste 1Quincy, IL 62301-3304 · Phone (573) 875-4877 · Fax (573) 875-4879
Location 21715 W Worley St Ste BColumbia, MO 65203-1015 · Phone (573) 875-4877 · Fax (573) 875-4879

Other Identifiers 2

Other173297MO · Blue Shield Mo
Medicaid243396934MO

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. Suzanne E Alt Do 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 ID9931124781
PECOS Enrollment IDI20051012000193, I20111117000327
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 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.

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.
764 services63 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.
80 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services30 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864
Family Medicine
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864
Family Medicine
4230 LINCOLNSHIRE DR STE G
MOUNT VERNON, IL 62864

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 Suzanne Alt's NPI number?

The NPI number for Suzanne Alt is 1811995566. It was assigned to this individual provider in the NPPES registry on July 7, 2005. The provider is also known as Dr. Suzanne Alt Jarboe D.O.

Where is Suzanne Alt located?

Suzanne Alt practices at 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864. The listed phone number is (618) 244-6770.

What is Suzanne Alt's specialty?

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

Is Suzanne Alt enrolled in Medicare?

Yes. Suzanne Alt 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 Suzanne Alt affiliated with any hospitals?

According to CMS data, Suzanne Alt is affiliated with Good Samaritan Regional Hlth Center and Crossroads Community Hospital.

When was this NPI record last updated?

The NPPES record for Suzanne Alt was last updated on September 29, 2020. 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.