MR. ROBERT W. JR. DEATON (NP) – Nurse Practitioner, NPI 1386750404

MR. ROBERT W. JR. DEATON (NP) is a healthcare provider. based in Herrin, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209004993 (IL). The NPI Number for MR. ROBERT W. JR. DEATON (NP) is 1386750404

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT W. JR. DEATON (NP)
NPI
1386750404
Phone
(618) 997-6800
Address
510 LINCOLN DRIVE
Enumeration Date
22 August 2006
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185294455
Graduation Year
2003 (23 years ago)
PAC ID
2264421577
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20040511001226
Address ID
IL629011414CA409XXSTXX400

Contacts

Secure Messaging
rdeaton13978@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MR. ROBERT W. JR. DEATON (NP)

  • 510, Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States

    HERRIN, IL 62948

    Phone: (618) 997-6800

    Fax: (618) 998-9124

    Type: Location

  • 100 Dr Warren Tuttle Dr

    Harrisburg, IL 629462718

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • 217 S Park Ave Ste 2

    Herrin, IL 629483611

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • 3905 W Ernestine Dr

    Marion, IL 629595800

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 409 W OAK ST

    CARBONDALE, IL 629011464

    Phone: (618) 529-4455

    Fax: (618) 351-1287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Boston Scientific Corporation ($19).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040511001226INurse PractitionerILTBD
I20240821003678INurse PractitionerKYTBD

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
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg40,32065$0
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg67215$0
J1100Injection, dexamethasone sodium phosphate, 1 mg60969$0
20610Aspiration and/or injection of fluid from large joint305150$0
73562X-ray of knee, 3 views252188$0
View full utilization report →

Insurance plans in this area (ZIP 62948)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Geriatric Medicine, Hematology/OncologyIL
-IL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
General SurgeryIL
-IL

Reviews

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Frequently asked questions

What number should I use to identify MR. ROBERT W. JR. DEATON (NP) for billing?
Administrative and clinical systems typically use NPI 1386750404 for MR. ROBERT W. JR. DEATON (NP).
Is MR. ROBERT W. JR. DEATON (NP)'s NPI status active today?
Active status means MR. ROBERT W. JR. DEATON (NP)'s NPI record is not deactivated in the public file.
What does the directory say MR. ROBERT W. JR. DEATON (NP) does?
Insurance directories may phrase it differently, but here MR. ROBERT W. JR. DEATON (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MR. ROBERT W. JR. DEATON (NP) in Herrin, Illinois?
For routing, start with Herrin, Illinois for MR. ROBERT W. JR. DEATON (NP), then verify phone and hours locally.
Who maintains MR. ROBERT W. JR. DEATON (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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