ISTA ARIANE EGBETO MD
NPI 1962080754
Dermatology in Decatur, IL

Active since April 01, 2021PECOS EnrolledAccepts Medicare Assignment
2 MEMORIAL DR FL 1, DECATUR, IL 62526(217) 872-2930(217) 872-2979 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Jul 8, 2025, Apr 1, 2021 (3 updates tracked since 2021).

About Ista Ariane Egbeto Md NPPES

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

ISTA ARIANE EGBETO MD (NPI 1962080754) is an individual dermatology provider in Decatur, Illinois, licensed in Illinois (036174078) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1962080754
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameISTA ARIANE EGBETOCredential: MD
Location Address2 MEMORIAL DR FL 1Decatur, IL 62526-3950
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486
Fax(217) 872-2979
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateNovember 24, 20253 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1962080754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036174078
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2 MEMORIAL DR FL 1, Decatur, IL 62526

Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (240) 273-6219

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

Ista Ariane Egbeto 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 ID4183139512
PECOS Enrollment IDI20250715002626
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.

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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 4

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

Obstetrics & Gynecology
2 MEMORIAL DR FL 1
DECATUR, IL 62526
Advanced Practice Midwife
2 MEMORIAL DR FL 1
DECATUR, IL 62526
Obstetrics & Gynecology
2 MEMORIAL DR FL 1
DECATUR, IL 62526
Internal Medicine (Gastroenterology)
2 MEMORIAL DR FL 1
DECATUR, IL 62526

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 Ista Egbeto's NPI number?

The NPI number for Ista Egbeto is 1962080754. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Ista Egbeto located?

Ista Egbeto practices at 2 Memorial Dr Fl 1, Decatur, IL 62526. The listed phone number is (217) 872-2930.

What is Ista Egbeto's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ista Egbeto enrolled in Medicare?

Yes. Ista Egbeto 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 Ista Egbeto affiliated with any hospitals?

According to CMS data, Ista Egbeto is affiliated with Saint Francis Medical Center and Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ista Egbeto was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.