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DR. JAMES J FLAIG DO
NPI 1922018332
Surgery in Effingham, IL

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1104 W EVERGREEN AVE, EFFINGHAM, IL 62401(217) 347-2500(217) 342-9775 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2019, May 1, 2019, Apr 1, 2019 and 1 more (4 updates tracked since 2018).

About Dr. James J Flaig Do NPPES

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

DR. JAMES J FLAIG DO (NPI 1922018332) is an individual surgery provider in Effingham, Illinois, licensed in Illinois (036115742) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1922018332
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES J FLAIGCredential: DO
Location Address1104 W EVERGREEN AVEEffingham, IL 62401-1710
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4693 · (217) 238-6055 · Fax (217) 258-2216
Phone(217) 347-2500
Fax(217) 342-9775
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1922018332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036115742
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.
1104 W EVERGREEN AVE, Effingham, IL 62401
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1900 W Temple Ave, SUITE 101Effingham, IL 62401-2186 · Phone (217) 347-2500 · Fax (217) 342-9775
Location 2220 S Park Ave Fl 3Herrin, IL 62948-3602 · Phone (618) 942-2002 · Fax (618) 351-6497
Location 3934 N Route 49 Ste ACasey, IL 62420-1454 · Phone (217) 932-4061
Location 4904 W Temple AveEffingham, IL 62401-2178 · Phone (217) 342-1234 · Fax (217) 342-1230

Other Identifiers 1

Medicaid036115742IL

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. James J Flaig Do 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 ID4587667605
PECOS Enrollment IDI20060810000255
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.

Areas of Expertise CMS Part B claims 8

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
109 services97 patients
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.
80 services74 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
36 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
22 services21 patients

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

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.

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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

THE FIFER CENTER FOR PLASTIC SURGERY LTD
Plastic Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-7090
DR. KEVIN D MALONE MD
Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 347-2500
MR. LARRY JOE WELSH LCPC, NCC, CCMHC
Counselor (Professional)
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 258-4042
EVERGREEN AESTHETIC INSTITUTE LLC
Clinic/Center (Ambulatory Fertility Facility)
1104 W EVERGREEN AVE, SUITE B
EFFINGHAM, IL 62401
Effingham County (217) 342-7090

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 James Flaig's NPI number?

The NPI number for James Flaig is 1922018332. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is James Flaig located?

James Flaig practices at 1104 W Evergreen Ave, Effingham, IL 62401. The listed phone number is (217) 347-2500.

What is James Flaig's specialty?

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

Is James Flaig enrolled in Medicare?

Yes. James Flaig 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.

Is James Flaig affiliated with any hospitals?

According to CMS data, James Flaig is affiliated with St Anthonys Memorial Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for James Flaig was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.