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Dr. Dennis D Costerisan

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NPI Number Detailed Information

Provider Information:

Name: Dr. Dennis D Costerisan
Gender: M
Provider License Number If Given: 36071025

NPI Information:

NPI: 1578565701
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/1/2005

Last Update Date: 1/25/2022

Reputation Report:

Provider Business Mailing Address:

Address: 320 E CENTRAL AVE
Decatur, IL 62521
Phone Number: 2178779117
Fax Number: 2177282580

Provider Business Practice Location Address:

Address: 320 E CENTRAL AVE
Decatur, IL 62521
Phone Number: 2178779117
Fax Number: 2178773078

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: IL

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About Dr. Dennis D Costerisan

Dr. Dennis D Costerisan (DR. DENNIS D COSTERISAN ) is Family Family Medicine Physician in Decatur, IL. The NPI Number for Dr. Dennis D Costerisan is 1578565701.
The current location address for Dr. Dennis D Costerisan is 320 E CENTRAL AVE Decatur, IL 62521 and the contact number is 2178779117 and fax number is 2177282580. The mailing address for Dr. Dennis D Costerisan is 320 E CENTRAL AVE Decatur, IL 62521- 2178779117 (mailing address contact number - 2178779117).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Dennis D Costerisan ?


Answer: The NPI Number for Dr. Dennis D Costerisan is 1578565701

Where is Dr. Dennis D Costerisan located?


Answer: Dr. Dennis D Costerisan is located at 320 E CENTRAL AVE Decatur, IL 62521.

What is the specialty for Dr. Dennis D Costerisan ?


Answer: The Specialty of Dr. Dennis D Costerisan is Family Family Medicine Physician.

Are there any online reviews for Dr. Dennis D Costerisan ?


Answer: Yes! Check It Now.

Are there any other health care providers in Decatur, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Dennis D Costerisan

Number of HCPCS 2
Number of Medicare Beneficiaries 20
Number of Services 29
Total Submitted Charge Amount 472
Total Medicare Allowed Amount 96.72
Total Medicare Payment Amount 96.72
Total Medicare Standardized Payment Amount 94.76
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 2
Number of Medicare Beneficiaries With Medical 20
Number of Medical Services 29
Total Medical Submitted Charge Amount 472
Total Medical Medicare Allowed Amount 96.72
Total Medical Medicare Payment Amount 96.72
Total Medical Medicare Standardized Payment Amount 94.76
Average Age of Beneficiaries 66
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.65
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.75
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.7
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.65
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.473

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 3288
Number of Standardized 30-Day Fills 5454.2333333
Aggregate Cost Paid for All Claims 238694.72
Number of Day's Supply for All Claims 156147
Number of Medicare Beneficiaries 298
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2197
Including Refills, for Beneficiaries Age 65+ 3784.4
Beneficiaries Age 65+ 174333.97
Number of Day's Supply for All Claims for Beneficaries Age 65+ 109302
Number of Medicare Beneficiaries Age 65+ 169
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 596
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 2638
Aggregate Cost Paid for Generic Drugs 42974.05
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 54
Aggregate Cost Paid for Other Drugs 1748.42
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1379
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 82208.41
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1909
Aggregate Cost Paid for Claims Filled by 156486.31
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 2490
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 190960.63
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 798
by Low-Income Subsidy 47734.09
Total Claims of Opioid Drugs, Including 190
Aggregate Cost Paid for Opioid Drugs 1701.16
Opioid Claims 32
Opioid_Tot_Clms divided by the Tot_Clms 5.7785888078
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 30
Aggregate Cost Paid for Antibiotic Drugs 463.14
Antibiotic Claims 18
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 64.130872483
Number of Beneficiaries Age Less Than 65 129
Number of Beneficiaries Age 65 to 74 117
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 164
Number of Male Beneficiaries 134
Number of Non-Hispanic White 199
Number of Black or African American 89
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 78
Average Hierarchical Condition Category 1.4876597305

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