Kenneth Tuan, M.D.
Sports Medicine (Orthopaedic Surgery) Physician · Decatur, IL
Kenneth Tuan, M.D. is a sports medicine (orthopaedic surgery) physician with a practice address in Decatur, Illinois, and NPI 1477520955, issued on Mar 3, 2006. Check the license (Illinois 036109943, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Kenneth Tuan
- Credential
- M.D.
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- 036109943 IL
Self-reported in NPPES; status is on the state search - Practice location
- 304 W Hay St Ste 218, Decatur, IL 62526
- Phone
- (217) 528-7541
- Enumerated
- Mar 3, 2006
- Record last updated
- May 28, 2025
- Medicaid ID
- 036109943 IL
- Medicare enrollment
- Enrolled (PECOS I20040105000560); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 102 in Illinois → Look up another NPI →
Verify Kenneth Tuan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036109943Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
1% fewer Medicare Part D claims than the average sports medicine (orthopaedic surgery) physician in 2024
284 Medicare Part D claims for 104 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. 222 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen146 claims
- Tramadol Hcl43 claims
- Famotidine30 claims
- Oxycodone-Acetaminophen29 claims
- Amoxicillin12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 20.4 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,525.69
26 payments; by number, the most common kind was food and beverage; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Orthopaedic And Rehabilitation Specialists OF Central IllinoisDecatur, IL
- Springfield Clinic, LLPLincoln, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth Tuan among 102 sports medicine (orthopaedic surgery) physician records in Illinois
Kenneth Tuan, M.D. is one of 102 sports medicine (orthopaedic surgery) physician records with a practice address in Illinois. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.
- NPI issued2006 · 16% of these records are older, 55% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 84% of these records are
- Graduated1997 · median 2003 among the 86 with a school on file
- Record last updated2025 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in Illinois
There are 102 sports medicine (orthopaedic surgery) physician records in Illinois.
All 102 in Illinois → Every provider in Decatur → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- Woodley Desir, MDSpringfield, IL 627111447405576
- Varun Sharma, M.D.Springfield, IL 627111447723960
- Lawrence Stein, M.D.Smithton, IL 622851053315721
- Nichelle Enata, MDBelleville, IL 622261972974244
- Michael Hughes, MDBelleville, IL 622261558470617
- Jean Benoit Houle, M.D.Mount Vernon, IL 628641639146103
- David Zhu, MDGlen Carbon, IL 620341821440751
- Robert Bane, MDChampaign, IL 618201487688974
Common questions
What is Kenneth Tuan, M.D.'s NPI number?
Kenneth Tuan, M.D.'s National Provider Identifier (NPI) is 1477520955, issued on Mar 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Tuan, M.D. located?
The NPPES record lists a practice address at 304 W Hay St Ste 218, Decatur, IL, 62526. Phone: (217) 528-7541. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Tuan, M.D.'s license?
NPPES lists Illinois license number 036109943, 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.
How much does Kenneth Tuan, M.D. prescribe under Medicare Part D?
In 2024, Kenneth Tuan, M.D. had 284 Medicare Part D claims for 104 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
What is Kenneth Tuan, M.D.'s MIPS final score?
The 2023 MIPS final score is 20.4 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.