DR. JEFFERY S DEACON (DPM) – Podiatrist, NPI 1104919075
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
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Provider Addresses for DR. JEFFERY S DEACON (DPM)
3403, Professional Park Drive, Bainbridge, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629596394
Phone: (618) 993-0333
Fax: (618) 993-0545
Mailing address matches the actual address.
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (799 days ago).
Enrollment records
2
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| I20061221000132 | I | Podiatry | IL | TBD |
| O20100930055112 | O | Physician - Podiatry | IL | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 199 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 179 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 82 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 111 | 65 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 82 | 38 | $0 |
Insurance plans in this area (ZIP 62959)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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