Richard Dean Funneman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36079619 Issued in IL

Practice address

1442 N 8TH St
Vandalia, IL 62471-1031

Phone

(618) 283-0266

Fax

(618) 283-0519

NPI assigned

Nov 9, 2005

Last updated

Jun 5, 2023By 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 2

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 PracticeAlso: Emergency Medicine

Education

Rush Medical College of Rush University, 1984

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

• HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
• Fayette County Health Dept Home health agency, Vandalia, IL, CCN 147147
• Fayette County Health Department Hospice Hospice, Vandalia, IL, CCN 141607
• Fayette County Hospital Hospital, Vandalia, IL, CCN 141346
• HSHS Holy Family Hospital Inc Hospital, Greenville, IL, CCN 140137
• Fayette County Hospital Nursing home, CCN 14Z346

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 Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/sarahbu-e05e23b8

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.

• 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 Fayette County Hospital & Long Term Care

  • Skilled Nursing Facility
  • Vandalia, IL
  • NPI 1306959689
  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)
• Sarah Bush Lincoln Health Center

  dba Sarah Bush Lincoln Fayette County Hospital

  • Rural Health Clinic/Center
  • Vandalia, IL
  • NPI 1568500510
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

• Fayette County

  • Home Health Agency
  • Vandalia, IL
  • NPI 1174523914

  Hospice

  Care Compare affiliation
• HSHS Holy Family Hospital Inc

  • General Acute Care Hospital
  • Greenville, IL
  • NPI 1205850690
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  dba SBL Fayette County Hospital

  • Critical Access Hospital
  • Vandalia, IL
  • NPI 1497868772

  Nursing home

  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  dba FCH Physician Billing

  • Critical Access Hospital
  • Vandalia, IL
  • NPI 1912988734
  Care Compare affiliation
• St Anthonys Memorial Hospital of the Hospital Sisters of the Third

  dba HSHS Home Care Illinois

  • Home Health Agency
  • Effingham, IL
  • NPI 1891758678
  Care Compare affiliation

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1396726121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W TAYLOR ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711227",
            "telephone_number": "618-664-2531",
            "fax_number": "618-664-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 N 8TH ST",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624711031",
            "telephone_number": "618-283-0266",
            "fax_number": "618-283-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNNEMAN",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36079619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079619",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "L10234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Fleshren, DMD
• Heather Kay Foley, D.C.
• Brent Frey, PHARMD
• Barbara L Fuessel, F.N.P./R.N.
• Michael Kent Fulton, D.D.S.
• Lynette Marie Gartke, L.C.P.C.
• Matthew Gerald Gartke, L.C.P.C.
• Lacey Glynn
• Granite City Orthopedic Physicians Company LLC
• Granite City Orthopedic Physicians Company LLC

• Family Medicine Physician in Vandalia, IL
• Providers in Vandalia, 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 Jun 5, 2023; 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.