Individual provider Active NPI

Patrick Kyle Stewart, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Effingham, IL
National Provider Identifier
1427039197
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
036101783 Issued in IL
Practice address
901 Medical Park Dr Ste 100
Effingham, IL 62401-2191
Phone
(217) 347-7400
NPI assigned
Nov 9, 2005
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 036101783 IL Primary

Addresses

Primary practice location

901 Medical Park Dr Ste 100
Effingham, IL 62401-2191

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

901 Medical Park Dr Ste 100
Effingham, IL 62401-2191
Phone (217) 347-3003

Other practice location 2

1007 Health Center Dr
Mattoon, IL 61938-4693
Phone (217) 258-7400

Other practice location 3

1201 Ricker Rd # Drivea
Salem, IL 62881-4263
Phone (217) 347-3003

Other identifiers 1

IdentifierTypeStateIssuer
036101783MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101028001372 IL Practitioner - Hand SurgeryPractitioner - General Surgery 1658472899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: General Surgery
Education
Medical College of Ohio, 1993
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)

901 Medical Park Dr
Suite 100
Effingham, IL 62401-2191
Phone (217) 347-3003

Hospital & facility affiliations

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

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)32
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036101783ILMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 1, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

901 Medical Park Dr
Ste 100
Effingham, IL 62401
Phone (217) 347-3003

904 W Temple Ave
Effingham, IL 62401
Phone (217) 342-1234

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1007 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-7400

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1427039197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372",
            "fax_number": "217-258-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL PARK DR STE 100",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012191",
            "telephone_number": "217-347-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012191",
            "country_code": "US",
            "telephone_number": "217-347-3003",
            "fax_number": "217-347-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384693",
            "country_code": "US",
            "telephone_number": "217-258-7400",
            "fax_number": "217-258-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Ricker Rd # Drivea",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "IL",
            "postal_code": "628814263",
            "country_code": "US",
            "telephone_number": "217-347-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PATRICK",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "036101783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101783",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.