Maurice Deon Dale
NPI 1639757958ActiveIndividual· Emergency Medicine· O Fallon, IL
Emergency Medicine with Central Prairie Physicians PLLC, practicing in O Fallon, Illinois. 216 Medicare patients in 2024, $29,710 paid; nearly all of their 150 Part D prescriptions were generic (94%). Csl Behring reported $125.00 in payments in 2024, mostly food and beverage. Lists Hshs St Elizabeth's Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1639757958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Aug 8, 2024 |
| Certified by provider | Aug 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 036170338 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 216 |
|---|---|
| Services billed | 241 across 15 procedure codes |
| Paid by Medicare | $29,710 |
Part D prescriptions in 2024
| Prescriptions (claims) | 150 · 151 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $3,281 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Central Prairie Physicians PLLCMacomb, IL · 25 clinicians
Hospital affiliations
- Hshs St Elizabeth's HospitalO Fallon, IL
- Memorial HospitalCarthage, IL
- St Joseph's HospitalHighland, IL
- St Josephs HospitalBreese, IL
Industry payments (Open Payments)
- 2024$125.00 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $125.00 | 1 |
What the 2024 payments were for
- Food and Beverage$125.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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