Dr Kenneth Tuan, MD - Medicare Orthopedic Surgery in Decatur, IL

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Dr Kenneth Tuan, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Decatur, Illinois. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Springfield Clinic, Llp, Orthopaedic And Rehabilitation Specialists Of Central Illinois and his current practice location is 304 W Hay St Ste 218, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Dr Kenneth Tuan is licensed to practice in Illinois (license number 036109943) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477520955.

Contact Information

Dr Kenneth Tuan, MD
304 W Hay St Ste 218,
Decatur, IL 62526-4169
(217) 528-7541
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Tuan
GenderMale
SpecialityOrthopedic Surgery
Experience28 Years
Location304 W Hay St Ste 218, Decatur, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth Tuan graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1477520955
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 05/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032018494
  • Enrollment ID: I20040105000560

Medical Identifiers

Medical identifiers for Dr Kenneth Tuan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477520955NPI-NPPES
036109943MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 036109943 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home HealthSpringfield, ILHome health agency
Decatur Memorial HospitalDecatur, ILHospital
St Marys HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic, Llp0547166076655
Orthopaedic And Rehabilitation Specialists Of Central Illinois25674615852

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth Tuan allows following entities to bill medicare on his behalf.
Entity NameSpringfield Clinic, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameOrthopaedic And Rehabilitation Specialists Of Central Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902989379
PECOS PAC ID: 2567461585
Enrollment ID: O20061220000196

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Tuan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Tuan, MD
Po Box 19248,
Springfield, IL 62794-9248

Ph: (217) 528-7541		Dr Kenneth Tuan, MD
304 W Hay St Ste 218,
Decatur, IL 62526-4169

Ph: (217) 528-7541

Reviews and Comments


Orthopaedic Surgery Doctors in Decatur, IL

Dr. Jeffery M Smith, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 304 W Hay St, Suite 215, Decatur, IL 62526
Phone: 247-875-4263    Fax: 217-872-5481
Dr. Tyler Noel Jones, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 304 W Hay St, Ste 111, Decatur, IL 62526
Phone: 217-872-8205    Fax: 217-872-5485
Dr. Edmund William Raycraft, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 304 W Hay St, Suite 111, Decatur, IL 62526
Phone: 217-872-8200    Fax: 217-872-4898
Dr. M Stephen Huss, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 304 W Hay St, Ste 213, Decatur, IL 62526
Phone: 217-875-1518    Fax: 217-875-9309
Dr. John Chris Kefalas, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2905 N Main St, Suite G, Decatur, IL 62526
Phone: 217-425-2600    Fax: 217-425-2900

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.