NPPES file of Aug 9, 2026

Douglas Craig Maibenco, MD PHD

Surgery Physician · Decatur, IL

Douglas Craig 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, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366424061
Name
Douglas Craig 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
Record last updated
Jan 6, 2022
Fax
(217) 329-1055
Medicaid ID
036098825 IL
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 Craig 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

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The MIPS final score for 2023 (Medicare payment program): 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. Costnot scored (reweighted)
  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).

Douglas Craig Maibenco among 1,520 surgery physician records in Illinois

Douglas Craig Maibenco, MD PHD is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 92% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileNo · 43% of these records are
  • Record last updated2022 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Surgery Physician providers in Illinois

There are 1,520 surgery physician records in Illinois.

The 8 surgery physician records with the nearest ZIP codes

  1. Leslie Anewenah, MDDecatur, IL 625211508110198
  2. Thomas Dekoj, M.D.Decatur, IL 625211053514646
  3. Aftab Jafri, M.D.Decatur, IL 625211255696605
  4. Wael Otaibi, D.O.Decatur, IL 625211255452124
  5. Amrita Pandit, M.DDecatur, IL 625211780905463
  6. John White, MDDecatur, IL 625211184606527
  7. Micheal Young, M.D.Decatur, IL 625211033214994
  8. Timothy Bailey, M.D.Decatur, IL 625261053378976

Common questions

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

Douglas Craig 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 Craig 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 Craig 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 Craig Maibenco, MD PHD's MIPS final 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), file of Aug 9, 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.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.