Mark Emenecker, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-104851 Issued in IL

Practice address

116 W Buchanan Ave
Charleston, IL 61920-2522

Phone

(217) 345-7700

Fax

(217) 345-7200

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Rowan University School of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarah Bush Lincoln Home Care Home health agency, Charleston, IL, CCN 147594
• LHC-Illinois Home Health Care Home health agency, Champaign, IL, CCN 147799
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• Hilltop Skilled NSG & Rehab Nursing home, Charleston, IL, CCN 145862

Merit-based Incentive Payment System (MIPS)

Final score

88.96 of 100Reported as apm

Quality

69.5

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Medicare reassignment Care Compare group NPD
• Sarah Bush Lincoln Health Center

  dba FCH Greenville Family Medicine Clinic

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1811858970
  NPD
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hilltop Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Charleston, IL
  • NPI 1770137937

  Nursing home

  Care Compare affiliation
• LHCG Xxxvii, LLC

  dba LHC-Illinois Home Health Care

  • Home Health Agency
  • Champaign, IL
  • NPI 1841537503
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  dba Sarah Bush Lincoln Home Care

  • Home Health Agency
  • Charleston, IL
  • NPI 1922190024
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1285740571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 HEALTH CENTER DR STE 201",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384693",
            "telephone_number": "217-238-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W BUCHANAN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202522",
            "telephone_number": "217-345-7700",
            "fax_number": "217-345-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Health Center Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-4850",
            "fax_number": "217-238-4855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMENECKER",
        "first_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-104851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Illinois University Health Service
• Crystal Edwards
• David Jedidiah Ehlers, LCPC
• Francesca Lynn Ehlers, MS
• Eiu Speech Language Hearing Clinic
• Empowerme Rehabilitation Illinois, LLC
• Pamela Ervin
• Mark D. Esarey, O.D.
• Jherum Bardoquillo Espejo, PT, DPT
• Matthew James Evans

• Family Medicine Physician in Charleston, IL
• Providers in Charleston, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.