EDWARD P. SLOAN M.D.
NPI 1881694644
Emergency Medicine in Urbana, IL
NPI Status: Active since July 22, 2005
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About EDWARD SLOAN
This page provides the complete NPI Profile along with additional information for Edward Sloan, a provider established in Urbana, Illinois with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1881694644 assigned on July 2005. The practitioner's primary taxonomy code is 207P00000X with license number 036071669 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1881694644
- Provider Name
- EDWARD P. SLOAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 611 W PARK ST URBANA, IL 61801
- Location Phone
- (217) 383-3311
- Mailing Address
- 520 E 22ND ST LOMBARD, IL 60148
- Mailing Phone
- (630) 874-2542
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-22-2005
- Last Update Date
- 10-09-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036071669
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Edward Sloan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 61801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 82% | 261 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 8 | 1 | 6 | 9 | 4 | 6 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 12 | 9 | 8 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 2 + 9 + 8 + 6 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1881694644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477518025 | MRS. BETH ANN LANGFORD CNNP Individual | Nurse Practitioner (Neonatal) | 611 W PARK ST URBANA, IL 61801 (217) 383-3176 |
| 1295791127 | DR. RICHARD E NICOL MD Individual | Emergency Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3319 |
| 1366408684 | DR. ROBERT T KISKADDON MD Individual | Emergency Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3319 |
| 1760438204 | CARLE FOUNDATION PHYSICIAN SERVICES LLC Organization | Internal Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3319 |
| 1679598031 | TERI D WEIR PA Individual | Physician Assistant | 611 W PARK ST URBANA, IL 61801 (217) 544-6464 |
| 1225103989 | TAMMIE ELLINGSON CNS Individual | Clinical Nurse Specialist | 611 W PARK ST URBANA, IL 61801 (217) 383-3311 |
| 1649335886 | JUDITH A CHASE NP Individual | Registered Nurse (Critical Care Medicine) | 611 W PARK ST URBANA, IL 61801 (217) 383-3311 |
| 1023163441 | CARLE FOUNDATION HOSPITAL Organization | Pharmacy | 611 W PARK ST URBANA, IL 61801 (217) 383-3252 |
| 1366597510 | CARLE FOUNDATION HOSPITAL Organization | Pharmacy | 611 W PARK ST URBANA, IL 61801 (217) 383-4687 |
| 1992928386 | MS. MARY WILLIS SLP Individual | Speech-Language Pathologist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1437361862 | DR. MATTHEW JOHN PIKE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 611 W PARK ST URBANA, IL 61801 (217) 383-3252 |
| 1295949675 | MS. ALISA L LAMB MS, ORT-L Individual | Occupational Therapist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1750595120 | MS. LUANN HANSEN MA, CCC-SLP Individual | Speech-Language Pathologist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1144413584 | PROF. STEPHEN ALLEN BOPPART MD/PHD Individual | Internal Medicine | 611 W PARK ST MILLS BREAST CANCER INSTITUTE URBANA, IL 61801 (217) 326-0283 |
| 1629265574 | MS. PATRICIA SCHEETS PT, DPT Individual | Physical Therapist | 611 W PARK ST URBANA, IL 61801 (217) 326-2911 |
| 1336319375 | DR. ERICH GREGORY HANEL MD Individual | Family Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3302 |
| 1972773950 | ASHWIN BALLUPET SHIVAKUMAR MD. MS Individual | Internal Medicine | 611 W PARK ST FORUM LL URBANA, IL 61801 (217) 383-3110 |
| 1861663288 | UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN Organization | Internal Medicine | 611 W PARK ST URBANA, IL 61801 (217) 383-3110 |
| 1073786273 | MICHELE RENEE HALL MS CCC-SLP Individual | Speech-Language Pathologist | 611 W PARK ST URBANA, IL 61801 (217) 326-0395 |
| 1205002185 | UNIVERSITY OF ILLINOIS Organization | General Acute Care Hospital | 611 W PARK ST CARLE FORUM LOWER LEVEL URBANA, IL 61801 (217) 383-3110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881694644, enumerated in the NPI registry as an "individual" on July 22, 2005
The provider is located at 611 W Park St Urbana, Il 61801 and the phone number is (217) 383-3311
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.71 with an average copayment of $21.42 for new patient appointments. Established patients should expect a typical charge of $97.25 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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