FRANK M EATON MD
NPI 1962419614
Pain Medicine - Interventional Pain Medicine in Effingham, IL

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
71.13/100
CMS Quality Rating
503 N MAPLE ST, EFFINGHAM, IL 62401(618) 231-2700 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Nov 10, 2020 (2 updates tracked since 2020).

About Frank M Eaton Md NPPES

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

FRANK M EATON MD (NPI 1962419614) is an individual interventional pain medicine provider in Effingham, Illinois, licensed in Illinois (036103229) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1986).

NPPES Registry Identity

NPI1962419614
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameFRANK M EATONCredential: MD
Location Address503 N MAPLE STEffingham, IL 62401-2006
Mailing Address4227 Lincolnshire DrMount Vernon, IL 62864-2157 · (618) 242-2317 · Fax (618) 242-9710
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1986
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1962419614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in IL · 036103229
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 036103229 (IL)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 036103229 (IL)
503 N MAPLE ST, Effingham, IL 62401

Other Identifiers 1

Medicaid036103299IL

Accepted Insurance

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

Frank M Eaton 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 ID4082609854
PECOS Enrollment IDI20060406000465
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 19

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.
362 services192 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.
169 services169 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
165 services112 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.
123 services97 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
87 services62 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
72 services59 patients

Hospital Affiliations CMS Care Compare 5

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

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

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

71.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost96.06

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%106 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Occupational Therapist
503 N MAPLE ST
EFFINGHAM, IL 62401
Emergency Medicine
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Anesthetist, Certified Registered
503 N MAPLE ST
EFFINGHAM, IL 62401
Hospitalist
503 N MAPLE ST
EFFINGHAM, IL 62401
General Acute Care Hospital
503 N MAPLE ST
EFFINGHAM, IL 62401

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 Frank Eaton's NPI number?

The NPI number for Frank Eaton is 1962419614. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Frank Eaton located?

Frank Eaton practices at 503 N Maple St, Effingham, IL 62401. The listed phone number is (618) 231-2700.

What is Frank Eaton's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Frank Eaton enrolled in Medicare?

Yes. Frank Eaton 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.

What insurance does Frank Eaton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Frank Eaton 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 Frank Eaton affiliated with any hospitals?

According to CMS data, Frank Eaton is affiliated with St Anthonys Memorial Hospital, Ssm Health St Mary's Hospital -Centralia, Sarah Bush Lincoln Health Center, Fayette County Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Frank Eaton was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.