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BRYAN MICHAEL MISTRETTA DO
NPI 1932722006
Colon & Rectal Surgery in Springfield, IL

Active since May 25, 2020PECOS Enrolled
701 N 1ST ST STE D327, SPRINGFIELD, IL 62702(217) 545-8444(217) 545-7762 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bryan Michael Mistretta Do NPPES

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

BRYAN MICHAEL MISTRETTA DO (NPI 1932722006) is an individual colon & rectal surgery provider in Springfield, Illinois, licensed in Illinois (036174964) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932722006
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameBRYAN MICHAEL MISTRETTACredential: DO
Location Address701 N 1ST ST STE D327Springfield, IL 62702-3757
Mailing AddressPo Box 19638Springfield, IL 62794-9638
Phone(217) 545-8444
Fax(217) 545-7762
Sole ProprietorNo
Enumeration DateMay 25, 2020
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1932722006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in IL · 036174964
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 125076122 (IL)
701 N 1ST ST STE D327, Springfield, IL 62702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Michael Mistretta Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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 2

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

DR. RODRIGUE FONTEM MD
Surgery
701 N 1ST ST STE D327
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8856
ADAM MAERZ MD
Colon & Rectal Surgery
701 N 1ST ST STE D327
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8444

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 Bryan Mistretta's NPI number?

The NPI number for Bryan Mistretta is 1932722006. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Where is Bryan Mistretta located?

Bryan Mistretta practices at 701 N 1st St Ste D327, Springfield, IL 62702. The listed phone number is (217) 545-8444.

What is Bryan Mistretta's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Bryan Mistretta enrolled in Medicare?

Yes. Bryan Mistretta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Mistretta was last updated on July 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.