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KANDACE LAMONICA MD
NPI 1952864977
Family Medicine in O Fallon, IL

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2023, Jul 9, 2022, Jul 8, 2019 and 1 more (4 updates tracked since 2019).

About Kandace Lamonica Md NPPES

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

KANDACE LAMONICA MD (NPI 1952864977) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (125075203) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Hshs Holy Family Hospital Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952864977
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKANDACE LAMONICACredential: MD
Location Address1 SAINT ELIZABETH BLVDO Fallon, IL 62269-1099
Mailing Address4041 Chouteau Ave Apt 324Saint Louis, MO 63110-1729
Phone(618) 234-2120
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateFebruary 16, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1952864977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 125075203✔ Licensed in NY · 318019
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 SAINT ELIZABETH BLVD, O Fallon, IL 62269
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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 and accepts Medicare assignment

Kandace Lamonica 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.

PECOS PAC ID7517296668
PECOS Enrollment IDI20230928001026
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
463 services200 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
295 services274 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
125 services124 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
83 services82 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140137
Location200 Health Care DrGreenville, IL 62246 · Bond County
Emergency services

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Rehabilitation Unit
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
KATHRYN LOHMAN PA-C
Physician Assistant
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
MS. SHAMBRA CULLUM APN
Nurse Practitioner (Family)
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (217) 994-1485
ATA U. SIDDIQUI M.D.
Anesthesiology
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
DR. VINCENT JOSEPH DUENAS MD
Hospitalist
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CAITLIN ALONZO
Nurse Practitioner
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
CEP AMERICA-ILLINOIS HOSPITALISTS, LLP
Internal Medicine
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120
JENNIFER L CRIPPS CRNA
Nurse Anesthetist, Certified Registered
1 SAINT ELIZABETH BLVD
O FALLON, IL 62269
St. Clair County (618) 234-2120

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 Kandace Lamonica's NPI number?

The NPI number for Kandace Lamonica is 1952864977. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Kandace Lamonica located?

Kandace Lamonica practices at 1 Saint Elizabeth Blvd, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Kandace Lamonica's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kandace Lamonica enrolled in Medicare?

Yes. Kandace Lamonica 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 Kandace Lamonica affiliated with any hospitals?

According to CMS data, Kandace Lamonica is affiliated with Hshs Holy Family Hospital Inc, St Josephs Hospital, Hshs St Elizabeth's Hospital, St Joseph's Hospital and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Kandace Lamonica was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.