CHAD ALLEN NOGGLE (MD) – Clinical Neuropsychologist, NPI 1063654796
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
Provider Addresses for CHAD ALLEN NOGGLE (MD)
1005 BROADWAY ST
QUINCY, IL 623012834
Phone: (217) 223-1200
Fax: (217) 277-3960
Type: Mailing
901 W Jefferson St
Springfield, IL 627024833
Phone: (217) 545-8229
Fax: (217) 545-2275
Type: Location
901, West Jefferson Street, Springfield, Sangamon County, Illinois, 62702, United States
PO BOX 19642
SPRINGFIELD, IL 627024833
Phone: (217) 545-8229
Fax: (217) 545-2275
Type: Mailing
927 BROADWAY ST
QUINCY, IL 623012719
Phone: (217) 224-4453
Fax: (217) 224-9383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090723000711 | I | Clinical Psychologist | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 205 | 32 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 153 | 30 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 38 | 35 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 32 | 30 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 30 | 30 | $0 |
Insurance plans in this area (ZIP 62301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | IL | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 371 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | MI | |
| Radiation Oncology | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Pain Management, Anesthesiology | IL | |
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL |
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