PATRICK HALE LONG (MD) – Family Medicine Physician, NPI 1780206094

PATRICK HALE LONG (MD) is a healthcare provider. based in Springfield, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 125075843 (IL). The NPI Number for PATRICK HALE LONG (MD) is 1780206094

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK HALE LONG (MD)
NPI
1780206094
Phone
(217) 545-8000
Address
PO BOX 19670
Enumeration Date
8 May 2020
Last Update Date
8 May 2020

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8154262020
Graduation Year
2020 (6 years ago)
PAC ID
0143643874
Group Practice PAC ID
3577462258
Professional Enrollment ID
I20230708000237
Address ID
IL609419785HE692XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for PATRICK HALE LONG (MD)

  • PO BOX 19670

    SPRINGFIELD, IL 627949670

    Phone: (217) 545-8000

    Fax: (217) 757-8161

    Type: Mailing

  • 520 N 4TH ST

    SPRINGFIELD, IL 627025238

    Phone: (217) 545-8000

    Fax: (217) 757-8161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,554.

Total Amount is formed as General ($1,554) + Research ($0) + Ownership ($0) = $1,554.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($198).

Total Amount

$1,554

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-07-08

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
I20230708000237IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8870$0
99213Established patient office or other outpatient visit, 20-29 minutes8675$0
90662Influenza vaccine split virus, preservative free1919$0
G0008Administration of influenza virus vaccine1919$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 3577462258View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Physician AssistantIL
-IL
Physician AssistantIL
Family PracticeIL
Family PracticeIL

Reviews

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Frequently asked questions

What is the standard ID for PATRICK HALE LONG (MD) in the U.S.?
In the U.S., PATRICK HALE LONG (MD) is identified by NPI 1780206094.
Quick check: is PATRICK HALE LONG (MD) active?
Public NPPES data shows PATRICK HALE LONG (MD) with an active NPI status right now.
What does the directory say PATRICK HALE LONG (MD) does?
Insurance directories may phrase it differently, but here PATRICK HALE LONG (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to PATRICK HALE LONG (MD)?
PATRICK HALE LONG (MD) shows a connection to Springfield, Illinois in registry-derived data.
Can I export PATRICK HALE LONG (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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