MR. EDWARD C II ELLIOTT (MD) – Radiation Oncology Physician, NPI 1790748119

MR. EDWARD C II ELLIOTT (MD) is a healthcare provider. based in Decatur, Illinois. specializing in Radiation Oncology Physician. They hold the professional credentials MD. They hold a License No. 036-078735 (IL). The NPI Number for MR. EDWARD C II ELLIOTT (MD) is 1790748119

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MR. EDWARD C II ELLIOTT (MD)
NPI
1790748119
Phone
(217) 876-6600
Address
210 W. MCKINLEY AVE
Enumeration Date
7 April 2006
Last Update Date
1 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2174642900
Graduation Year
1979 (47 years ago)
PAC ID
6305750548
Group Practice PAC ID
5991619116
Professional Enrollment ID
I20110118001129
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for MR. EDWARD C II ELLIOTT (MD)

  • 210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States

    STE 1

    DECATUR, IL 62526

    Phone: (217) 876-6600

    Fax: (217) 876-6606

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-06-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($23).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-30

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: 2011-01-18

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
I20110118001129IRadiation OncologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62526)

Loading plans...

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: 5991619116View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
Hematology/Oncology, Internal MedicineIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is MR. EDWARD C II ELLIOTT (MD) identified in CMS data?
CMS-hosted NPPES data lists MR. EDWARD C II ELLIOTT (MD) with NPI 1790748119.
Is MR. EDWARD C II ELLIOTT (MD) still practicing?
MR. EDWARD C II ELLIOTT (MD) is currently listed as active in the public NPI registry.
What is MR. EDWARD C II ELLIOTT (MD) best known for clinically?
Directory data describes MR. EDWARD C II ELLIOTT (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. EDWARD C II ELLIOTT (MD)?
MR. EDWARD C II ELLIOTT (MD)'s geographic hint is Decatur, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

2 W Adams St
NPI: 1871580142

MRS. MARY ANNE DEPAZ (MD)

Radiation Oncology Physician
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1700846664

DR. RENATA CHARISSA MOORE (M.D.)

Radiation Oncology Physician
210, West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1851483572

DR. SEONG R CHO (MD)

Radiation Oncology Physician
1001 HEALTH CENTER DR
NPI: 1811082886

HAROLD A YOON (MD)

Radiation Oncology Physician
West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States
NPI: 1558566984

JACOB SAMUEL WITT (M.D.)

Radiation Oncology Physician
UW HOSPITALS & CLINICS 600 HIGHLAND AVE
NPI: 1891157871