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Devan Mcculloch

Physical Therapist • Dixon, IL

Active NPI 1205225323 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

201 Lincoln Statue Dr
Dixon, IL 610212000

Call 8152841700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

201 Lincoln Statue Dr

Dixon, IL 610212000

Telephone 8152841700
Organization at the Same NPPES Address or Phone
Orthopedic Rehab Specialists Of Dixon, Llc Facility NPI 1679778435

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ortho Rehab Specialists Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Medicare patients

151 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $124,900 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $97,412 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Devan Mcculloch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Dixon and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Physical Therapist in Illinois (2024, 3,527 clinicians with data). Median for this group: 1,547. Middle half: 796 to 2,683.

Too few clinicians listed under Physical Therapist in Dixon have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physical Therapist in Illinois (2024, 3,527 clinicians with data). Median for this group: $42,337. Middle half: $21,718 to $70,818.

Too few clinicians listed under Physical Therapist in Dixon have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Physical Therapist in Illinois (2024, 3,527 clinicians with data). Median for this group: $32,638. Middle half: $16,714 to $54,519.

Too few clinicians listed under Physical Therapist in Dixon have Medicare Part B data for 2024 to compare.

21 active clinicians are listed under Physical Therapist with a practice address in Dixon, IL (12,059 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dixon

0% of these 21 clinicians have the CMS telehealth indicator.

9.5% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
2,509 146 $86.00 $20.32
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
1,491 112 $84.00 $26.39
97530 Therapy procedure using functional activities
749 82 $93.00 $28.48
97140 Therapy procedure using manual technique, each 15 minutes
360 67 $66.00 $18.52
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
76 21 $54.00 $7.87
97162 Evaluation for physical therapy, typically 30 minutes
63 57 $207.00 $94.81

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

License # reported to NPPES IL 070070147

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20160913000053

Enrollment State Jurisdiction

IL

PECOS Control ID

9739475062

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ortho Rehab Specialists Pllc

103 N Benton St, Winnebago, IL 610889501

Phone: 8153355223

Ortho Rehab Specialists Pllc

2662 Mcfarland Rd, Rockford, IL 611076806

Phone: 8152271700

Ortho Rehab Specialists Pllc

841 N Galena Ave, Dixon, IL 610211568

Phone: 8152841700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kathryn Lewis , NP-C

Nurse Practitioner - Family

NPI 1073138467

Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2017

Registered at 201 LINCOLN STATUE DR, DIXON, IL 610212000 (Tel: 8152841700)

📍
Updated Business Mailing Address January 27, 2017

Registered at 10713 E LINDENWOOD RD, CHANA, IL 610159673

👤
Provider Name / Credentials Updated January 27, 2017

Recorded as DEVAN MCCULLOCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Physical Therapist (license number reported to NPPES: IL 070070147)

âś…
NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 13, 2015

Registered at 550 S MULFORD RD, ROCKFORD, IL 611082511 (Tel: 8154841002)

📍
Business Mailing Address (Initial Record) January 13, 2015

Registered at 10713 E LINDENWOOD RD, CHANA, IL 610159673

👤
Provider Name / Credentials (Initial Record) January 13, 2015

Recorded as DEVAN GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2015

Physical Therapist (license number reported to NPPES: IL 070070147)

🟢
Initial NPI Registration & Enumeration January 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205225323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2015
Last Update: January 27, 2017
Sole Proprietor: Yes

Other Physical Therapists in Dixon

Healthcare providers in Dixon

Mailing Address

10713 E Lindenwood Rd

Chana, IL 610159673

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.