John Chris Kefalas, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36094691 Issued in IL

Practice address

2905 N Main St
Suite G
Decatur, IL 62526-4276

Phone

(217) 425-2600

Fax

(217) 425-2900

NPI assigned

Oct 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John C. Kefalas, M.D.,S.C.

  • Orthopaedic Surgery Physician
  • Decatur, IL
  • NPI 1811993405

  O20100930005770

  Same enrollment

Specialty

Orthopedic Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John C. Kefalas, M.D.,S.C.Group PAC ID 4486797453, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Springfield, IL, CCN 147708
• Elara Caring V Home health agency, Springfield, IL, CCN 148086
• Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135
• St Marys Hospital Hospital, Decatur, IL, CCN 140166
• Pana Community Hospital Hospital, Pana, IL, CCN 141341

Merit-based Incentive Payment System (MIPS)

Final score

28.43 of 100Reported as individual

Quality

15

Improvement activities

0

Cost

74.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• John C. Kefalas, M.D.,S.C.

  • Orthopaedic Surgery Physician
  • Decatur, IL
  • NPI 1811993405
  Medicare reassignment Care Compare group NPD Authorized official
• Decatur Open MRI, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Decatur, IL
  • NPI 1508315086
  NPD
• Gibson Community Hospital Association

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

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

• Decatur Memorial Hospital

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1548357973
  Care Compare affiliation
• Eh Home Health of the Midwest, LLC

  • Home Health Agency
  • Springfield, IL
  • NPI 1477006161
  Care Compare affiliation
• First Care Healthcare Inc.

  • Home Health Agency
  • Springfield, IL
  • NPI 1780823377
  Care Compare affiliation
• Pana Community Hospital Association

  • Critical Access Hospital
  • Pana, IL
  • NPI 1942326970
  Care Compare affiliation
• St Marys Hospital Decatur of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • Decatur, IL
  • NPI 1326041229
  Care Compare affiliation

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1386832855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "address_2": "SUITE G",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264276",
            "telephone_number": "217-425-2600",
            "fax_number": "217-425-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "address_2": "SUITE G",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264276",
            "telephone_number": "217-425-2600",
            "fax_number": "217-425-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEFALAS",
        "first_name": "JOHN",
        "middle_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36094691",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "36094691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-094691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikaela Kasperek, PHD, RD
• Komal Kaul, M.D.
• Jasleen Kaur, MD
• Jasmine M Kaylor
• Jonathon Matthew Keck, LPC, LCPC
• Melissa L Kehart
• Cameron J Kell, MD
• Kristina Keller, RBT
• Kelly Clark DDS PC
• Helen B. Kennedy, NP

• Orthopaedic Surgery Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.