DR. ROGER K NORTON M.D.
NPI 1831820596
Family Medicine - Sports Medicine in Decatur, IL

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE STE 100, DECATUR, IL 62526(217) 872-3800(217) 872-0849 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Dec 18, 2025, Jul 10, 2025 (3 updates tracked since 2025).

About Dr. Roger K Norton M.d. NPPES

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

DR. ROGER K NORTON M.D. (NPI 1831820596) is an individual sports medicine provider in Decatur, Illinois, licensed in Illinois (036.175893) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Quincy, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831820596
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. ROGER K NORTONCredential: M.D.
Location Address102 W KENWOOD AVE STE 100Decatur, IL 62526-4379
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (544) 470-2486
Fax(217) 872-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateMay 11, 20263 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1831820596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IL · 036.175893
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 125080705 (IL)
102 W KENWOOD AVE STE 100, Decatur, IL 62526

Secondary Practice Location 1

Location 1612 N 11th St Ste BQuincy, IL 62301-2662 · Phone (217) 224-9484 · Fax (217) 224-7950

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

Dr. Roger K Norton 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 ID941681175
PECOS Enrollment IDI20260618002797
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 Reassignment

Medicare enrollment records show Roger Norton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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 20

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

Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526

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 Roger Norton's NPI number?

The NPI number for Roger Norton is 1831820596. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Roger Norton located?

Roger Norton practices at 102 W Kenwood Ave Ste 100, Decatur, IL 62526. The listed phone number is (217) 872-3800.

What is Roger Norton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Roger Norton enrolled in Medicare?

Yes. Roger Norton 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.

Which organization bills Medicare for Roger Norton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Norton reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Norton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Norton was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.