DOUGLAS CRAIG MAIBENCO (MD PHD) – Surgery Physician, NPI 1366424061

DOUGLAS CRAIG MAIBENCO (MD PHD) is a healthcare provider. based in Decatur, Illinois. specializing in Surgery Physician. They hold the professional credentials MD PHD. They hold a License No. 036098825 (IL). The NPI Number for DOUGLAS CRAIG MAIBENCO (MD PHD) is 1366424061

Main info

Male
Accepts Medicare Assignment
Name
DOUGLAS CRAIG MAIBENCO (MD PHD)
NPI
1366424061
Phone
(217) 329-1000
Address
1770 E LAKE SHORE DR STE 105
Enumeration Date
17 November 2005
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2177576868
Graduation Year
null (2026 years ago)
PAC ID
2365481769
Group Practice PAC ID
5092857821
Professional Enrollment ID
I20050426000515

Contacts

Secure Messaging
dmaibenco100758@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DOUGLAS CRAIG MAIBENCO (MD PHD)

  • East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625213800

    Phone: (217) 329-1000

    Fax: (217) 329-1055

    Type: Location

  • 1730 E LAKE SHORE DR

    DECATUR, IL 625213809

    Phone: (217) 329-1000

    Fax: (217) 329-1055

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99213Established patient office or other outpatient visit, 20-29 minutes9180$0
99212Established patient office or other outpatient visit, 10-19 minutes7669$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6632$0
45380Biopsy of large bowel using a flexible endoscope5353$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4725$0
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Insurance plans in this area (ZIP 62521)

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Provider's Procedures

DOUGLAS CRAIG MAIBENCO (MD PHD) performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYIL38900Lymph node imaging during surgery1919

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: 5092857821View full group profile

Reviews

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Frequently asked questions

How do payers reference DOUGLAS CRAIG MAIBENCO (MD PHD)?
For DOUGLAS CRAIG MAIBENCO (MD PHD), use NPI 1366424061 as the unique 10-digit identifier.
Active or inactive — what applies to DOUGLAS CRAIG MAIBENCO (MD PHD)?
You should see DOUGLAS CRAIG MAIBENCO (MD PHD) as active in CMS-hosted NPPES data.
What kind of doctor is DOUGLAS CRAIG MAIBENCO (MD PHD)?
DOUGLAS CRAIG MAIBENCO (MD PHD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DOUGLAS CRAIG MAIBENCO (MD PHD)?
Travel planning: use Decatur, Illinois as the reference point for DOUGLAS CRAIG MAIBENCO (MD PHD), then confirm.
Can I trust this NPI listing for DOUGLAS CRAIG MAIBENCO (MD PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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