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DR. MARTIN NNAEMEKA OKPALIKE M.D.
NPI 1962697250
Pediatrics in Decatur, IL

Active since September 10, 2007PECOS Enrolled
2888 N MONROE ST, DECATUR, IL 62526(217) 876-8000(855) 347-8363 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2025, Jun 4, 2024, Sep 6, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Martin Nnaemeka Okpalike M.d. NPPES

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

DR. MARTIN NNAEMEKA OKPALIKE M.D. (NPI 1962697250) is an individual pediatrics provider in Decatur, Illinois, licensed in Illinois (036120153) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962697250
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARTIN NNAEMEKA OKPALIKECredential: M.D.
Location Address2888 N MONROE STDecatur, IL 62526-3269
Mailing Address310 N Country Club CtDecatur, IL 62521-2567 · (217) 876-3161
Phone(217) 876-8000
Fax(855) 347-8363
Sole ProprietorNo
Enumeration DateSeptember 10, 2007
Last NPPES UpdateDecember 24, 20254 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1962697250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036120153✔ Licensed in NC · 2014-00844✔ Licensed in NJ · 25MA08308100✔ Licensed in IN · 01064107A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 036120153 (IL), 01064107A (IN)
2888 N MONROE ST, Decatur, IL 62526
Open in Google Maps ↗

Secondary Practice Locations 3

Location 112750 Saint Francis DrCrown Point, IN 46307-0264 · Phone (219) 757-6005 · Fax (219) 681-6823
Location 2850 S Main StHolly Springs, NC 27540-8906 · Phone (984) 960-1800
Location 31410 Fern Creek DrStatesville, NC 28625-9376 · Phone (704) 978-2379 · Fax (704) 978-2380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martin Nnaemeka Okpalike M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Martin Okpalike reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richland Memorial Hospital, Inc.
91 mi
Rural Health
1200 N EAST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 clinicians in this Medicare group
NPI 1053792689 (618) 392-2940
Franciscan Physician Network
154 mi
Family Medicine
8111 S EMERSON AVE
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1225327984 (317) 528-4800
Caromont Medical Group Inc
515 mi
Family Medicine
305 W. COLLEGE AVE
Boiling Springs, NC 28017
  • Reassigned Medicare billing, North Carolina enrollment
  • 673 clinicians in this Medicare group
NPI 1205079290 (704) 434-2281

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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.

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 Martin Okpalike's NPI number?

The NPI number for Martin Okpalike is 1962697250. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Martin Okpalike located?

Martin Okpalike practices at 2888 N Monroe St, Decatur, IL 62526. The listed phone number is (217) 876-8000.

What is Martin Okpalike's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Martin Okpalike enrolled in Medicare?

Yes. Martin Okpalike is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martin Okpalike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Okpalike reassigns Medicare benefits to 3 organizations: Richland Memorial Hospital, Inc. (Olney, IL), Franciscan Physician Network (Indianapolis, IN) and Caromont Medical Group Inc (Boiling Springs, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Okpalike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Okpalike accept?

Health plans from Blue Cross and Blue Shield of NC and CareSource list Martin Okpalike 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.

When was this NPI record last updated?

The NPPES record for Martin Okpalike was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.