Mark B Deyoung, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036108454 Issued in IL

Practice address

1024 N Magnolia St
Elmwood, IL 61529-9602

Phone

(309) 742-6334

Fax

(309) 647-6880

NPI assigned

Jul 15, 2005

Last updated

Feb 21, 2022By the provider in NPPES

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

Other identifiers 1

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

University of Michigan Medical School, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Home Health-Western Region Home health agency, Galesburg, IL, CCN 147430
• Western Ill Home HLTH Care in Home health agency, Monmouth, IL, CCN 147204
• Hospice Compassus - Northwest Illinois Hospice, Galesburg, IL, CCN 141581
• Graham Hospital Association Hospital, Canton, IL, CCN 140001
• St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
• Graham Hospital Association Hospital, Canton, IL, CCN 141356
• Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

62.57

Promoting interoperability

100

Improvement activities

40

Cost

77.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mdeyoung@yourcarecommunity.org

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

• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1780692087
  Medicare reassignment Care Compare group NPD
• Graham Hospital Association

  dba Knox & Fulton County Wound and Hyperbaric Medicine

  • Internal Medicine Physician
  • Galesburg, IL
  • NPI 1710845854
  NPD

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

• Community Hospices of America, LLC

  dba Hospice Compassus - Northwest Illinois

  • Community Based Hospice Care Agency
  • Galesburg, IL
  • NPI 1063514800
  Care Compare affiliation
• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1154117521
  Care Compare affiliation
• Osf Healthcare System

  dba Osf Saint Luke Medical Center

  • Critical Access Hospital
  • Kewanee, IL
  • NPI 1871919381
  Care Compare affiliation
• St Mary Medical Center

  dba OSF Saint Mary Medical Center

  • General Acute Care Hospital
  • Galesburg, IL
  • NPI 1164485363
  Care Compare affiliation
• St Mary Medical Center

  dba OSF Home Health-Western Region

  • Home Health Agency
  • Galesburg, IL
  • NPI 1225072176
  Care Compare affiliation
• Western Illinois Home Health Care, Inc.

  • Home Health Agency
  • Monmouth, IL
  • NPI 1831203546
  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1306845045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202608",
            "telephone_number": "309-647-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N MAGNOLIA ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299602",
            "telephone_number": "309-742-6334",
            "fax_number": "309-647-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 E Gale St",
            "address_purpose": "LOCATION",
            "city": "Williamsfield",
            "state": "IL",
            "postal_code": "614895418",
            "country_code": "US",
            "telephone_number": "309-639-4004",
            "fax_number": "309-649-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361084541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Graham Hospital Association (Graham Medical Group Elmwood)
• Kristen Jackson, FNP-C

• Family Medicine Physician in Elmwood, IL
• Providers in Elmwood, 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 Feb 21, 2022; 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.