DR. OMER M AKER (MD) – Diagnostic Radiology Physician, NPI 1205821543

DR. OMER M AKER (MD) is a healthcare provider. based in Charleston, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 036064832 (IL). The NPI Number for DR. OMER M AKER (MD) is 1205821543

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. OMER M AKER (MD)
NPI
1205821543
Phone
(217) 345-2100
Address
907 W LINCOLN AVE
Enumeration Date
13 September 2005
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096491843
Graduation Year
1978 (48 years ago)
PAC ID
0345348264
Group Practice PAC ID
9436061827
Professional Enrollment ID
I20070531000051
Address ID
IL615202444CA210XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for DR. OMER M AKER (MD)

  • 907, West Lincoln Avenue, Charleston, Coles County, Illinois, 61920, United States

    PO BOX 770

    CHARLESTON, IL 619202413

    Phone: (217) 345-2100

    Fax: (217) 345-8366

    Type: Mailing

  • 907 W Lincoln Ave

    Charleston, IL 619202413

    Phone: (217) 345-2100

    Fax: (217) 345-8366

    Type: Location

  • 111 OAKWOOD RD

    EAST PEORIA, IL 616111853

    Phone: (309) 740-4272

    Type: Mailing

  • 800 E CARPENTER ST

    SPRINGFIELD, IL 627692413

    Phone: (217) 544-6464

    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.

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: 2007-05-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070531000051IDiagnostic RadiologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography1,3131,313$0
77063Screening 3d breast mammography1,2221,222$0
71045X-ray of chest, 1 view589557$0
71046X-ray of chest, 2 views502481$0
77080Dxa bone density measurement of hip, pelvis, spine300300$0
View full utilization report →

Insurance plans in this area (ZIP 61920)

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Provider's Procedures

DR. OMER M AKER (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL73110X-ray of wrist, minimum of 3 views3836
DIAGNOSTIC RADIOLOGYIL73562X-ray of knee, 3 views4438

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061827View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Physician AssistantIL
-IL
Diagnostic RadiologyFL
-IL
-IL
-IL
Diagnostic RadiologyIL
Diagnostic RadiologyMN

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Frequently asked questions

What number should I use to identify DR. OMER M AKER (MD) for billing?
Administrative and clinical systems typically use NPI 1205821543 for DR. OMER M AKER (MD).
Should I treat DR. OMER M AKER (MD) as an active provider?
Patients and plans typically see DR. OMER M AKER (MD) as active in the national extract.
What services align with DR. OMER M AKER (MD)'s listing?
DR. OMER M AKER (MD)'s public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. OMER M AKER (MD)?
The directory associates DR. OMER M AKER (MD) with Charleston, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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