DR. ARTURO T MENCHACA M.D.
NPI 1861516023
Obstetrics & Gynecology - Gynecologic Oncology in Paris, IL

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
727 E COURT ST, PARIS, IL 61944(217) 465-8411(217) 463-3184 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Arturo T Menchaca M.d. NPPES

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

DR. ARTURO T MENCHACA M.D. (NPI 1861516023) is an individual gynecologic oncology provider in Paris, Illinois, licensed in Illinois (036060767) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Paris Community Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1979).

NPPES Registry Identity

NPI1861516023
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. ARTURO T MENCHACACredential: M.D.
Location Address727 E COURT STParis, IL 61944-2460
Mailing Address727 E Court StParis, IL 61944-2460 · (217) 465-8411 · Fax (217) 463-3184
Fax(217) 463-3184
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1979
Enumeration DateMarch 16, 2007
Last NPPES UpdateMay 29, 2015
NPI 1861516023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in IL · 036060767
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 036060767 (IL)
Also ListedUrologyTaxonomy 208800000X · License 036060767 (IL)
727 E COURT ST, Paris, IL 61944

Other Identifiers 4

Other0021609821IL · Blue Cross Blue Sheild
Medicare UPIND14757IL
Medicare PINF400175671IL
Other363610625IL · Tax Id

Accepted Insurance

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. Arturo T Menchaca 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 ID8224121728
PECOS Enrollment IDI20070829000394
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.

Hospital Affiliations CMS Care Compare

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

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61944 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
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
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
78%128 patients4/55-star benchmark: 93%
Cervical Cancer Screening
88%103 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
73%44 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
65%189 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
80%123 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
49%57 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%57 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%829 patients4/55-star benchmark: 100%
e-Prescribing
97%113 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
89%133 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%336 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
83%207 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%458 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 331 patients
Patients screened: 99% · 331 patients
49%59 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%159 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%127 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 132 patients
Patients totalRate: 8% · 139 patients
11%139 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dietitian, Registered
727 E COURT ST
PARIS, IL 61944
Social Worker (Clinical)
727 E COURT ST
PARIS, IL 61944
Nurse Practitioner
727 E COURT ST
PARIS, IL 61944
Nurse Practitioner (Family)
727 E COURT ST
PARIS, IL 61944
Internal Medicine (Cardiovascular Disease)
727 E COURT ST
PARIS, IL 61944
Family Medicine
727 E COURT ST
PARIS, IL 61944
Nurse Practitioner (Psychiatric/Mental Health)
727 E COURT ST
PARIS, IL 61944
General Practice
727 E COURT ST
PARIS, IL 61944

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 Arturo Menchaca's NPI number?

The NPI number for Arturo Menchaca is 1861516023. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Arturo Menchaca located?

Arturo Menchaca practices at 727 E Court St, Paris, IL 61944. The listed phone number is (217) 465-8411.

What is Arturo Menchaca's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Arturo Menchaca enrolled in Medicare?

Yes. Arturo Menchaca 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.

What insurance does Arturo Menchaca accept?

Health plans from CareSource list Arturo Menchaca 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 Arturo Menchaca affiliated with any hospitals?

According to CMS data, Arturo Menchaca is affiliated with Paris Community Hospital.

When was this NPI record last updated?

The NPPES record for Arturo Menchaca was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.