Douglas Craig Maibenco, MD PHD
NPI 1366424061ActiveIndividual· Surgery· Decatur, IL
Surgery (MD PHD) in Decatur, Illinois, licensed in IL, with an NPI issued in November 2005.
Overview
| NPI | 1366424061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD PHD |
| Sole proprietor | No |
| NPI issued | Nov 17, 2005 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 036098825 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Decatur
- 1699962209
- 1760464481
- 1508110198
- 1053378976
- 1386601391
- 1053514646
- 1225094436
- 1255696605
- 1225005382
- 1528164951
- 1255452124
- 1780905463