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EDUARDO VACA M.D.
NPI 1902364508
Surgery in Effingham, IL

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401(217) 540-2350(217) 347-2323 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2024, Mar 4, 2019 (2 updates tracked since 2019).

About Eduardo Vaca M.d. NPPES

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

EDUARDO VACA M.D. (NPI 1902364508) is an individual surgery provider in Effingham, Illinois, licensed in Illinois (036177274) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Saint Clair Shores.

NPPES Registry Identity

NPI1902364508
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameEDUARDO VACACredential: M.D.
Location Address900 W TEMPLE AVE STE 2500Effingham, IL 62401-2121
Mailing Address900 W Temple Ave Ste 2500Effingham, IL 62401-2121 · (217) 540-2350 · Fax (217) 347-2323
Phone(217) 540-2350
Fax(217) 347-2323
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2019
Enumeration DateMarch 4, 2019
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1902364508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036177274✔ Licensed in MI · 4301511546
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
900 W TEMPLE AVE STE 2500, Effingham, IL 62401
Open in Google Maps ↗

Secondary Practice Location 1

Location 129000 Little Mack Ave Ste BSaint Clair Shores, MI 48081-3018 · Phone (586) 774-8811 · Fax (586) 541-0199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.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

Eduardo Vaca 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 ID1658606561
PECOS Enrollment IDI20251024002069
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

2

Medicare enrollment records show Eduardo Vaca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjl Health Systems Inc
33 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996
Ascension St John Hospital
362 mi
Hematology & Oncology
22301 FOSTER WINTER DR, 2N FLOOR
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health St. John Hospital
  • 520 clinicians in this Medicare group
NPI 1922397058 (248) 552-0620

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

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

EMILY K KONRAD APRN
Nurse Practitioner
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
NITIN KUMAR MD
Internal Medicine (Gastroenterology)
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
DR. DEAN A PAGE M.D.
Plastic Surgery
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
HOWARD B CHODASH M.D.
Internal Medicine (Gastroenterology)
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
DR. JOHN B POWELL M.D.
Orthopaedic Surgery
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 62401
Effingham County (217) 540-2350
DR. THOMAS A AMBROSE II MD
Orthopaedic Surgery
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 62401
Effingham County (217) 540-2350

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 Eduardo Vaca's NPI number?

The NPI number for Eduardo Vaca is 1902364508. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Eduardo Vaca located?

Eduardo Vaca practices at 900 W Temple Ave Ste 2500, Effingham, IL 62401. The listed phone number is (217) 540-2350.

What is Eduardo Vaca's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Eduardo Vaca enrolled in Medicare?

Yes. Eduardo Vaca 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 Eduardo Vaca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Vaca reassigns Medicare benefits to 2 organizations: Sjl Health Systems Inc (Pana, IL) and Ascension St John Hospital (Southfield, MI). 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 Eduardo Vaca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eduardo Vaca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Eduardo Vaca 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 Eduardo Vaca affiliated with any hospitals?

According to CMS data, Eduardo Vaca is affiliated with St Anthonys Memorial Hospital and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Eduardo Vaca was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.