Abigail Maciolek Cochran, M.D.
Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Springfield, IL
NPI 1265743140 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1265743140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License
- 036-143445 (IL)
- Practice address
- 2901 Greenbriar Dr
Springfield, IL 62704-6425 - Phone
- (217) 528-7541
- NPI assigned
- Jun 25, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 35
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Medical College of Wisconsin, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pana Community Hospital Association
Springfield Clinic, LLP
Practice addresses (Care Compare)
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
2901 Greenbriar Dr
Springfield, IL 62704-6425
Phone (217) 528-7541
Hospital & facility affiliations
- Memorial Medical Center
- Pana Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 86 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 14 |
| Skin biopsy | 15 |
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
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2022 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2022 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2022 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2022 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170801003767 | IL | Practitioner - Plastic and Reconstructive Surgery | 1658510656 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-143445 | IL | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Medical Group | Current |
Accepting new patients | |
| Pana Community Hospital Association | Current |
Accepting new patients | |
| Springfield Clinic, LLP | Current |
Accepting new patients | |
| Pana Community Hospital Association | Past | Accepting new patients |
Locations
250 W Kenwood Ave
Decatur, IL 62526
Phone (217) 872-3800
101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
2901 Greenbriar Dr
Springfield, IL 62704
Phone (217) 726-5580
1025 S 6th St
Springfield, IL 62703
900 N 1st St
Springfield, IL 62702
Interoperability endpoints
- abigail.cochran.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036-143445 | IL | Yes |
Addresses
Primary practice location
2901 Greenbriar Dr
Springfield, IL 62704-6425
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-143445 | Other | IL | STATE LICENSE |
Other names
- Dr. Abigail Marie Maciolek
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abigailcochran@sfc.allscriptsdirect.net |
Other providers in Springfield, IL
- Clover Solutions LLC
- Kevin Coakley
- Jada Cobb
- Haley Coble
- Jayson A Coble
- Darlene Marie Cockayne
- Carie Cody
- Arina Cohen
- Drew Anthony Colantino
- Laura Alyce Colantino
All providers in Springfield, IL · Plastic and Reconstructive 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 May 22, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.