William Leonard Devault, MD
Individual provider Active NPI Orthopaedic Surgery Physician · Robinson, IL
NPI 1215909718 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1215909718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036145174 (IL)
- Practice address
- 1000 N Allen St
Robinson, IL 62454-1114 - Phone
- (618) 546-1294
- Fax
- (618) 546-2665
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Wake Forest University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crawford Hospital District
Practice addresses (Care Compare)
1000 N Allen St C
CMH Bone and Joint Center
Robinson, IL 62454-1167
Phone (618) 546-1294
Hospital & facility affiliations
- Crawford Memorial Hospital
- Lawrence County Memorial Hospital
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180323000578 | IL | Practitioner - Orthopedic Surgery |
4880652809 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201301122 | NC | MD | Orthopaedic Surgery Physician |
| 0101043815 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crawford Hospital District | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current |
Accepting new patients | |
| Associated Pathologists, LLC | Current | Accepting new patients | |
| Ferrell Hospital Community Foundation | Current | Accepting new patients | |
| Crawford Hospital District | Current |
Accepting new patients | |
| Crawford Hospital District | Current |
Accepting new patients | |
| Crawford Hospital District | Orthopaedic Surgery | Current |
Accepting new patients |
| Lawrence County Memorial Hospital | Current |
Accepting new patients | |
| Lawrence County Memorial Hospital | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Oaktree Medical Centre, PC | Past | Accepting new patients | |
| Surgeoncare Physicians of Georgia, LLC | Past | Accepting new patients | |
| Appalachian Regional Medical Associates, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361
2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
1000 N Allen St
Ste C
Robinson, IL 62454
Phone (618) 546-1294
1002 N Allen St
Ste B
Robinson, IL 62454
Interoperability endpoints
- william.devault@hca6.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 201301122 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 0101043815 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 036145174 | IL | Yes |
Addresses
Primary practice location
1000 N Allen St
Robinson, IL 62454-1114
Mailing address
1000 N Allen St
Robinson, IL 62454-1114
Phone (618) 546-1294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178HJ | Other | NC | BCBSNC ID |
| NCD013A | Other | NC | MEDICARE PTAN |
| 1215909718 | Medicaid | VA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | william.devault@crawfordmh.cernerdirect.com | Direct |
Other providers in Robinson, IL
- Crawford Hospital District
- Crawford Hospital District
- Crawford Hospital District
- Crawford Radiology LTD
- D Miller Innovative Care Inc
- Elizabeth Margaret Dewyer
- Justina Marie Earnest
- Michael W Elliott II
- Feldman Occupatinal Health Services, LTD
- Feldman Occupational Health Services, LTD
All providers in Robinson, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.