Richard T Eden, MD
Individual provider Active NPI Gynecology Physician · Springfield, IL
NPI 1477589992 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1477589992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 036119111 (IL)
- Practice address
- 900 N 1St St
Springfield, IL 62702-3749 - Phone
- (217) 528-7541
- Fax
- (217) 525-0121
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 37
Hospital & facility affiliations 2
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pana Community Hospital Association
Springfield Clinic, LLP
Practice addresses (Care Compare)
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
15 Founders LN
Jacksonville, IL 62650-3919
Phone (217) 291-1041
300 N Broad St
Carlinville, IL 62626-1304
Phone (217) 528-7541
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone (217) 525-4150
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
900 N 1St St
Springfield, IL 62702-3749
Phone (217) 528-7541
Hospital & facility affiliations
- Memorial Medical Center
- Pana Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2010 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2010 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2010 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2010 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jan 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070813000659 | IL | Practitioner - Obstetrics/Gynecology | 0042314312 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current |
Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current |
Accepting new patients | |
| Pana Community Hospital Association | Current |
Accepting new patients | |
| Springfield Clinic, LLP | Obstetrics & Gynecology | Current |
Accepting new patients |
| Pana Community Hospital Association | Past | Accepting new patients | |
| Aegis Women'S Healthcare | Obstetrics & Gynecology | Past | Accepting new patients |
| Bloomington Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
Locations
300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020
1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911
15 Founders Ln
Jacksonville, IL 62650
Phone (217) 243-0300
101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
900 N 1st St
Springfield, IL 62702
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1025 S 6th St
Springfield, IL 62703
Interoperability endpoints
- richard.eden.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036119111 | IL | |
| Gynecology Physician | 207VG0400X | 036119111 | IL | Yes |
Addresses
Primary practice location
900 N 1St St
Springfield, IL 62702-3749
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119111 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | richardeden@sfc.allscriptsdirect.net |
Other providers in Springfield, IL
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- Aura M Eberhardt
- Don F Eberhardt
- Kristen Eckhart
- Hannah Eckles
- Jennifer C Edmonds
- Desiree Marie Edmondson
- Edward a Trudeau MD SC
- David Joseph Edwards
- Kathleen M Edwards
All providers in Springfield, IL · Gynecology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.