OrganizationActive
Decatur Orthopedic Center, LLC
NPI 1336586114 · Orthopaedic Surgery Physician · Mt. Zion, IL
Provider details
- NPI number
- 1336586114
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Sams, Chief Managing Member(217) 864-2665
- License
- 125-052745 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
104 Ashland Ave.
Mt. Zion, IL 62549
Phone: (217) 864-2665
Approximate (ZIP-level) locationGet directions
Mailing address
104 Ashland Ave.
Mt. Zion, IL 62549
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2022-02-23
- Certified
- 2022-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.