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DOUGLAS EDWIN MEYER DO
NPI 1992363469
Pediatrics in Springfield, IL

Active since May 30, 2019PECOS Enrolled
400 N 9TH ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4779 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Edwin Meyer Do NPPES

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

DOUGLAS EDWIN MEYER DO (NPI 1992363469) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (125074039) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992363469
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDOUGLAS EDWIN MEYERCredential: DO
Location Address400 N 9TH ST FL 4Springfield, IL 62702-5310
Mailing AddressPo Box 19658Springfield, IL 62794-9658 · (217) 545-8000 · Fax (217) 545-4779
Phone(217) 545-8000
Fax(217) 545-4779
Sole ProprietorNo
Enumeration DateMay 30, 2019
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1992363469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125074039
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.
400 N 9TH ST FL 4, Springfield, IL 62702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Edwin Meyer 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Meyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
398 mi
Family Medicine
2020 HOSPITAL DR., STE. 2
Windom, MN 56101
  • Reassigned Medicare billing, Minnesota enrollment
  • 75 clinicians in this Medicare group
NPI 1851491690 (507) 831-1703
Rural Health Care, Inc
398 mi
Federally Qualified Health Center (FQHC)
2020 HOSPITAL DR., STE. 1
Windom, MN 56101
  • Reassigned Medicare billing, Minnesota enrollment
  • 92 clinicians in this Medicare group
NPI 1174141485 (507) 831-1703

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 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
$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.

Other Providers at the Same Location NPPES 9

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

DANIELLE JEAN KEY PSY.D
Psychologist (Clinical)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MARIHA KHAN
Pediatrics
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MICHELLE M MINER MD
Pediatrics
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. JENNA GOECKNER MD
Pediatrics
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JAMES BERMAN MD
Pediatrics (Pediatric Gastroenterology)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. AVANI GANTA M.B.B.S
Pediatrics (Pediatric Endocrinology)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
IBRAHIM MAKKI BINALSHEIKH
Psychiatry & Neurology (Neurology)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
MS. RACHEL HOSELTON NP
Nurse Practitioner (Pediatrics)
400 N 9TH ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Douglas Meyer's NPI number?

The NPI number for Douglas Meyer is 1992363469. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Douglas Meyer located?

Douglas Meyer practices at 400 N 9th St Fl 4, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Douglas Meyer's specialty?

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

Is Douglas Meyer enrolled in Medicare?

Yes. Douglas Meyer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Meyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Meyer reassigns Medicare benefits to 2 organizations: Avera Mckennan (Windom, MN) and Rural Health Care, Inc (Windom, MN). 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 Douglas Meyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Meyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Sanford Health Plan and 1 other insurer list Douglas Meyer 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 Douglas Meyer was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.