DR. DAVID W DEAN (M.D.) – Emergency Medicine Physician, NPI 1477717247

DR. DAVID W DEAN (M.D.) is a healthcare provider. based in Canton, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036-128312 (IL). The NPI Number for DR. DAVID W DEAN (M.D.) is 1477717247

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID W DEAN (M.D.)
NPI
1477717247
Phone
(309) 647-5240
Address
210 W WALNUT ST
Enumeration Date
10 July 2008
Last Update Date
16 February 2021

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096475240
Graduation Year
2008 (18 years ago)
PAC ID
4789853573
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20110812000067
Address ID
IL615202444CA210XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. DAVID W DEAN (M.D.)

  • 210 W WALNUT ST

    CANTON, IL 615202497

    Phone: (309) 647-5240

    Fax: (309) 649-5128

    Type: Location

  • Oklahoma Dept. of Public Safety Driver License Testing, Iowa Street, Norman, Cleveland County, Oklahoma, 73069, United States

    OKLAHOMA CITY, OK 731960001

    Phone: (800) 684-0062

    Fax: (405) 844-1794

    Type: Mailing

  • UnityPoint Health - Methodist, 221, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61636, United States

    EMERGENCY DEPT

    PEORIA, IL 616034310

    Phone: (309) 672-5522

    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: 2023-12-05

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
I20110812000067IEmergency MedicineILTBD
I20231205001147IEmergency MedicineCOTBD

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
99284Emergency department visit with moderate level of medical decision making170153$0
99283Emergency department visit with low level of medical decision making7266$0
99285Emergency department visit with high level of medical decision making5854$0
View full utilization report →

Insurance plans in this area (ZIP 61520)

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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: 2769375021View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does DR. DAVID W DEAN (M.D.) have a public NPI I can cite?
Public records show DR. DAVID W DEAN (M.D.) under NPI 1477717247.
Is DR. DAVID W DEAN (M.D.)'s NPI status active today?
Active status means DR. DAVID W DEAN (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DAVID W DEAN (M.D.)?
NPPES ties DR. DAVID W DEAN (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DAVID W DEAN (M.D.)?
DR. DAVID W DEAN (M.D.) shows a connection to Canton, Illinois in registry-derived data.
Can I export DR. DAVID W DEAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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