DR. JOHN CARL VENTURA MD
NPI 1881665966
Emergency Medicine in Mattoon, IL
About Dr. John Carl Ventura Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN CARL VENTURA MD (NPI 1881665966) is an individual emergency medicine provider in Mattoon, Illinois, licensed in Illinois (036151467) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dr. John Carl Ventura 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.
Medicare Billing Reassignments
11Medicare enrollment records show John Ventura reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
Oakland, IL 61943
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1679502322 (Illinois)
- 216 clinicians in this Medicare group
Clinton, IN 47842
- Reassigned Medicare billing, Indiana enrollment
- 2 clinicians in this Medicare group
Salem, IN 47167
- Reassigned Medicare billing, Indiana enrollment
- 532 clinicians in this Medicare group
Fort Wayne, IN 46805
- Reassigned Medicare billing, Indiana enrollment
- 162 clinicians in this Medicare group
Lagrange, IN 46761
- Reassigned Medicare billing, Indiana enrollment
- 93 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Virginia enrollment
- 679 clinicians in this Medicare group
Galax, VA 24333
- Reassigned Medicare billing, Virginia enrollment
- 68 clinicians in this Medicare group
Low Moor, VA 24457
- Reassigned Medicare billing, Virginia enrollment
- 92 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 130 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 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILParis Community Hospital
Critical Access Hospitals · Paris, ILParkview Huntington Hospital
Acute Care Hospitals · Huntington, INParkview Whitley Hospital
Acute Care Hospitals · Columbia City, INLewisgale Medical Center
Acute Care Hospitals · Salem, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MATTOON, IL 61938
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 Ventura's NPI number?
The NPI number for John Ventura is 1881665966. It was assigned to this individual provider in the NPPES registry on January 27, 2006.
Where is John Ventura located?
John Ventura practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 258-2551.
What is John Ventura's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John Ventura enrolled in Medicare?
Yes. John Ventura 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 Ventura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ventura reassigns Medicare benefits to 11 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Hospital & Medical Foundation Of Paris, Inc. (Oakland, IL), S & S Medical LLC (Clinton, IN), Baptist Health Medical Group Inc (Salem, IN), Professional Emergency Physicians PC (Fort Wayne, IN) and 6 more organizations, listed in the Medicare section above. 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 Ventura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ventura accept?
Health plans from Oscar Health and Oscar Insurance Company list John Ventura 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 Ventura affiliated with any hospitals?
According to CMS data, John Ventura is affiliated with Sarah Bush Lincoln Health Center, Paris Community Hospital, Parkview Huntington Hospital, Parkview Whitley Hospital and Lewisgale Medical Center.
When was this NPI record last updated?
The NPPES record for John Ventura was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. John Carl Ventura, MD · NPI 1881665966
Emergency Medicine physician in Mattoon, Illinois. Individual provider, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1881665966 (Entity type: Individual)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036151467 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 HEALTH CENTER DR, Mattoon, IL 61938-4644
- **Phone:** (217) 258-2551 · **Fax:** (217) 258-2256
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Sarah Bush Lincoln Health Center (NPI 1568581379, Mattoon, IL); Hospital & Medical Foundation Of Paris, Inc. (NPI 1831559509, Oakland, IL); S & S Medical LLC (NPI 1508306713, Clinton, IN); Baptist Health Medical Group Inc (NPI 1225633761, Salem, IN); Professional Emergency Physicians PC (NPI 1144215096, Fort Wayne, IN); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 2004
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881665966) · Data from the CMS NPPES public registry.