JOHN D HARTMAN MD
NPI 1851399976
Family Medicine in Benton, IL

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
201 BAILEY LANE, BENTON, IL 62812(618) 439-3161(618) 439-4049 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John D Hartman Md NPPES

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

JOHN D HARTMAN MD (NPI 1851399976) is an individual family medicine provider in Benton, Illinois, licensed in Illinois (036111331) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Saint Louis University School Of Medicine (2001).

NPPES Registry Identity

NPI1851399976
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN D HARTMANCredential: MD
Location Address201 BAILEY LANEBenton, IL 62812-0000
Mailing Address201 Bailey LaneBenton, IL 62812-0000 · (618) 439-3161 · Fax (618) 439-4049
Fax(618) 439-4049
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2001
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1851399976 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 · 036111331✔ Licensed in MO · 2004014269✔ Licensed in IL · 2004014269
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.
201 BAILEY LANE, Benton, IL 62812

Other Identifiers 4

Medicare ID-Type UnspecifiedK22097IL
Medicaid036111331IL
Medicare UPINI15206
Medicare UPINI15206IL

Accepted 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

John D Hartman 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 ID6204803034
PECOS Enrollment IDI20050129000005
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

4

Medicare enrollment records show John Hartman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
201 BAILEY LANE
Benton, IL 62812
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1255369427 (Illinois)
  • 34 clinicians in this Medicare group
Family Medicine
2553 KEN GRAY BLVD
West Frankfort, IL 62896
  • Reassigned Medicare billing, Illinois enrollment
  • 27 clinicians in this Medicare group
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 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.

Areas of Expertise CMS Part B claims

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.
54 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62812 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 6

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

Clinic/Center (Rural Health)
201 BAILEY LANE
BENTON, IL 62812
Registered Nurse
201 BAILEY LANE, REA CLINIC BENTON
BENTON, IL 62812
Licensed Practical Nurse
201 BAILEY LANE, REA CLINIC BENTON
BENTON, IL 62812
Internal Medicine
201 BAILEY LANE
BENTON, IL 62812
General Acute Care Hospital (Critical Access)
201 BAILEY LANE
BENTON, IL 62812
General Acute Care Hospital (Critical Access)
201 BAILEY LANE
BENTON, IL 62812

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 Hartman's NPI number?

The NPI number for John Hartman is 1851399976. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is John Hartman located?

John Hartman practices at 201 Bailey Lane, Benton, IL 62812. The listed phone number is (618) 439-3161.

What is John Hartman's specialty?

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

Is John Hartman enrolled in Medicare?

Yes. John Hartman 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 organizations bill Medicare for John Hartman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Hartman reassigns Medicare benefits to 4 organizations: Franklin Hospital District (Benton, IL), Southern Illinois Hospital Services (West Frankfort, IL), Board Of Trustees Of Southern Illinois University (Springfield, IL) and Siu Physicians & Surgeons, Inc (Springfield, IL). Each 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 John Hartman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Hartman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list John Hartman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Hartman affiliated with any hospitals?

According to CMS data, John Hartman is affiliated with Northwestern Medicine Central Dupage Hospital and Franklin Hospital.

When was this NPI record last updated?

The NPPES record for John Hartman was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.