Lori Cudone, M.D.
NPI 1003037169 · Otolaryngology Physician · Mattoon, IL
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lori Cudone, M.D. is a Otolaryngology Physician provider in Mattoon, IL (NPI 1003037169).
Provider details
- NPI number
- 1003037169
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 125-051257 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
273 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 82 | $66 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 63 | $137 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 46 | $100 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 38 | $84 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 24 | $69 |
| Removal of Impacted Ear Wax69210 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 14 | 13 |
| Triamcinolone Acetonide | 12 | — |
| Ipratropium Bromide | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,360 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 215 E 1st St Ste 111Dixon, IL 61021-3198Phone: (815) 285-5603
- 905 N Maple StEffingham, IL 62401-6433Phone: (217) 347-7077Fax: (217) 347-7197
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Frequently asked questions
- What is Lori Cudone's NPI number?
- Lori Cudone's National Provider Identifier (NPI) is 1003037169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lori Cudone's specialty?
- Lori Cudone is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Lori Cudone located?
- Lori Cudone's practice location on file with NPPES is 1005 Health Center Dr Ste 201, Mattoon, IL 61938-4653.
- What is Lori Cudone's phone number?
- The practice phone number listed in the NPPES registry for Lori Cudone is (217) 258-2409.
- Does Lori Cudone accept Medicare?
- Lori Cudone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lori Cudone's NPI active?
- Yes — Lori Cudone's NPI (1003037169) is active in the NPPES registry as of the last update on 2024-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.