Southern Illinois Medical Services NFP

A Medicare group practice based in Herrin, IL: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3678677390), with 774 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678677390The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL, IN, TN, TX
Enrollments
11
Group size
331 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
44In 15 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20070404000595 IL Part B Supplier - Clinic/Group Practice 1770656837
O20080111000386 IL Part A Provider - Rural Health Clinic 1154510808
O20110214000589 IL Part A Provider - Rural Health Clinic 1780985135
O20120315000770 IL Part A Provider - Rural Health Clinic 1477820900
O20120315000819 IL Part A Provider - Rural Health Clinic 1215204938
O20101004001310 IL Part A Provider - Rural Health Clinic 1992032809
O20140317001075 IL Part A Provider - Rural Health Clinic 1750705364
O20170925000001 IL Part A Provider - Rural Health Clinic 1538689062
O20250707001294 IN Part B Supplier - Clinic/Group Practice 1770656837
O20250429000830 TN Part B Supplier - Clinic/Group Practice 1770656837
O20250902000087 TX Part B Supplier - Clinic/Group Practice 1770656837

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
82 of 100Reported as group, on the record of 238 clinicians in this group
Quality
55.9
Promoting interoperability
100
Improvement activities
40
Cost
72.01

Clinicians 774

Page 1 of 8

Clinicians who reassign their Medicare benefits to this group (773) or whom Care Compare lists as members (331).

Sources for this page