Osaretin B Idusuyi (NPI# 1417944091, PAC ID# 2769524180) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1417944091 |
| PAC ID by PECOS | 2769524180 |
| Professional Enrollment ID | I20100123000186 |
| Full Name | Osaretin B Idusuyi |
| Organization Legal Name | ORTHOPAEDIC CENTER OF IL |
| Address |
1301 S Koke Mill Rd Springfield IL 62711-9252 |
| Phone Number | 2175479100 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0143299628 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 140053 | ST JOHNS HOSPITAL |
| 140058 | PASSAVANT AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1301 S Koke Mill Rd, Springfield, IL 62711-9252 | 2175479100 | ORTHOPAEDIC CENTER OF IL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 75% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 80% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 61% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 33% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% |
| Organization Legal Name | ORTHOPAEDIC CENTER OF IL |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry Priddy | Physician Assistant | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Joseph Williams | Orthopedic Surgery | Orthopaedic Center of Il | 515 N College, Lincoln, IL 62656-1401 |
| Frank J Bender Iii | Physical Medicine and Rehabilitation | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Danielle N Sharpstene | Occupational Therapy | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Marty C Wilson | Physician Assistant | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Christopher M Graves | Orthopedic Surgery | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Ronald R Romanelli | Orthopedic Surgery | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Amanda L Kollmann | Physical Therapy | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Christopher Maender | Hand Surgery | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| John O Watson | Physical Medicine and Rehabilitation | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Street Address |
1301 S KOKE MILL RD |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62711-9252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry Priddy | Physician Assistant | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Frank J Bender Iii | Physical Medicine and Rehabilitation | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Danielle N Sharpstene | Occupational Therapy | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Marty C Wilson | Physician Assistant | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Christopher M Graves | Orthopedic Surgery | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Ronald R Romanelli | Orthopedic Surgery | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Amanda L Kollmann | Physical Therapy | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Christopher Maender | Hand Surgery | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| John O Watson | Physical Medicine and Rehabilitation | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Kayla M Hauger | Physical Therapy | Orthopaedic Center of Il | 1301 S Koke Mill Rd, Springfield, IL 62711-9252 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie Mccormick | Nurse Practitioner | Memorial Physician Services | 3225 Hedley Rd, Springfield, IL 62711-6248 |
| Sean Edward Mccaffrey | Chiropractic | 3330 Hedley Rd, Suite C, Springfield, IL 62711-6384 | |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Corey M Colson | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Nichole Brockmeyer | Nurse Practitioner | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Juliet Anne Oury | Nurse Practitioner | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Jaclyn M Mcfadden | Qualified Audiologist | Central Illinois Hearing and Speech Ltd. | 4000 Westgate Dr, Springfield, IL 62711-7066 |
| Tonya Kay Bourn | Optometry | 4000 Westgate Dr, Springfield, IL 62711-7066 | |
| Jonathan L Ottino | Optometry | Springfield Vision Care Associates Ltd | 2741 Praire Crossing Dr, Springfield, IL 62711-7162 |
| Find all physicians in zip 62711 | |||
| City | SPRINGFIELD |
| Zip Code | 62711 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | SPRINGFIELD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Osaretin B Idusuyi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.