John P. Opilka, D.O.
Individual provider Active NPI Family Medicine Physician · Altamont, IL
NPI 1497715056 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1497715056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036099320 (IL)
- Practice address
- 5 E Cumberland Rd
Altamont, IL 62411-1271 - Phone
- (618) 483-6151
- Fax
- (618) 483-6153
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarah Bush Lincoln Health Center
Practice addresses (Care Compare)
101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730
5 E Cumberland Rd
Altamont, IL 62411-1271
Phone (618) 483-6151
503 N Maple
Effingham, IL 62401-2006
Phone (217) 342-2121
Hospital & facility affiliations
- HSHS Home Care Illinois
- Sarah Bush Lincoln Home Care
- Fayette County Health Dept
- Sarah Bush Lincoln Health Center
- St Anthonys Memorial Hospital
- Fayette County Hospital
- Helia Healthcare of Newton
- Lutheran Care Center
- Evergreen Nursing & Rehab Center
- Lakeland Rehab & Healthcare Center
- The Haven of St. Elmo
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 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 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Lutheran Care Center |
Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Jul 30, 2001 Jul 30, 2001 Apr 25, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051121000215 | IL | Practitioner - Family Practice | 5698674984 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Family Medicine | Current |
Accepting new patients |
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current |
Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Past | Accepting new patients |
Locations
5 E Cumberland Rd
Altamont, IL 62411
Phone (618) 483-6131
8 N 3rd St
Altamont, IL 62411
Phone (618) 483-6151
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
910 S Van Buren St
Newton, IL 62448
Phone (618) 783-3800
601 W Washington St
Ste 1
Newton, IL 62448
Phone (217) 347-2707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036099320 | IL | Yes |
Addresses
Primary practice location
5 E Cumberland Rd
Altamont, IL 62411-1271
Mailing address
1005 Health Center Dr Ste 201
Mattoon, IL 61938-4653
Phone (217) 342-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080191496 | Other | IL | RAILROAD MEDICARE |
| 170988 | Other | IL | PERSONAL CARE |
| 1735285 | Other | FIRST HEALTH/ COVENTRY | |
| 412343 | Other | IL | HEALTHLINK |
| 0032540022 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 055846 | Other | IL | HEALTH ALLIANCE |
| 371391171001 | Medicaid | IL |
Other providers in Altamont, IL
- Heather Dawn McDaniel
- Rebecca L Merten
- Mid-Illinois Medical Care Associates, LLC
- April R Moeller
- Lori L. Niemerg
- Kristyn Margaret Rosenkoetter
- Amy D Ruckman
- Tammy L. Sasse
- Karie A Schultz
- Allison Rose Schumacher
All providers in Altamont, IL · Family Medicine 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 Apr 6, 2023. 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.