Registry data as of Aug 27, 2026

Douglas Maibenco, MD PHD

Surgery Physician · Decatur, IL

Douglas Maibenco, MD PHD is a surgery physician with a practice address in Decatur, Illinois, and NPI 1366424061, issued on Nov 17, 2005. Check the license (Illinois 036098825, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, loaded Aug 27, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1366424061
Name
Douglas Maibenco
Credential
MD PHD
Primary taxonomy
Surgery Physician 208600000X
License number
036098825 IL
Self-reported in NPPES; status is on the state search
Practice location
1730 E Lake Shore Dr, Decatur, IL 62521
Phone
(217) 329-1000
Enumerated
Nov 17, 2005
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1730 E Lake Shore Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Leslie Anewenah, MDSurgery Physician1508110198
  2. Richard Dilorenzo, DOGastroenterology Physician1528090164
  3. Lindsay HendersonFamily Nurse Practitioner1649152430
  4. Khondker Islam, MDGastroenterology Physician1568441855
  5. Manoj Kohli, MDRheumatology Physician1215948146
  6. Danxuan Long, MDPulmonary Disease Physician1205098738

Verify Douglas Maibenco in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036098825
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

The Medicare quality score for 2023: 94.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.2
  2. Costout of 100 · 30%
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Surgery Physician providers in Illinois

There are 1,572 surgery physician records in Illinois.

Other surgery physician records in Illinois

  1. Douglas Aach, MDShiloh, IL1508817040
  2. John Abad, M.D.Warrenville, IL1578722336
  3. Andrew Abadier, DOChicago, IL1124657473
  4. Shabirhusain Abadin, M.D.Chicago, IL1467712596
  5. Mohammad Ali Abbass, MDChicago, IL1730508052
  6. Iftikharul Abbasy, MDOak Brook, IL1104814755
  7. Ariane Abcarian, M.D.Chicago, IL1831364272
  8. Mahmoud Abd-El-Hafez, MDSpringfield, IL1710516943
  9. Khaled Abdelhady, M.D.Chicago, IL1811173156
  10. Zaid Abdelsattar, MD, MSCMaywood, IL1760793293

Common questions

What is Douglas Maibenco, MD PHD's NPI number?

Douglas Maibenco, MD PHD's National Provider Identifier (NPI) is 1366424061, issued on Nov 17, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Douglas Maibenco, MD PHD located?

The NPPES record lists a practice address at 1730 E Lake Shore Dr, Decatur, IL, 62521. Phone: (217) 329-1000. Providers update this record themselves, so call before visiting.

How can I verify Douglas Maibenco, MD PHD's license?

NPPES lists Illinois license number 036098825, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Douglas Maibenco, MD PHD's Medicare quality score?

The 2023 MIPS final score is 94.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.