NPPES file of Aug 9, 2026

Lori Cudone, M.D.

Otolaryngology Physician · Mattoon, IL

Lori Cudone, M.D. is an otolaryngology physician with a practice address in Mattoon, Illinois, and NPI 1003037169, issued on May 2, 2007. Check the license (Illinois 036-127079, 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 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003037169
Name
Lori Cudone
Credential
M.D.
Primary taxonomy
Otolaryngology Physician 207Y00000X
License numbers
036-127079 IL
125-051257 IL
Self-reported in NPPES; status is on the state search
Practice location
1005 Health Center Dr Ste 201, Mattoon, IL 61938
Phone
(217) 258-2409
Enumerated
May 2, 2007
Record last updated
Nov 11, 2024
Fax
(217) 258-2323
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 1005 Health Center Dr Ste 201

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

  1. Loring Barr, APRNFamily Nurse Practitioner1073055885
  2. Katherine Chesnut, AUDAudiologist1053965806
  3. Sandra Ettema, M.D., PH.D.Otolaryngology Physician1760577902
  4. Mary Gorman, M.D.Otolaryngology Physician1063636041
  5. Kaley Graves, AUDAudiologist1245114537
  6. Jennifer Hall, FNP-CFamily Nurse Practitioner1902471444

Verify Lori Cudone 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 036-127079
    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.

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82% fewer Medicare Part D claims than the average otolaryngology physician in 2024

96 Medicare Part D claims for 58 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. 15 claims were for opioids.

  1. Lori Cudone96
  2. Specialty average541

Most prescribed

  1. Hydrocodone-Acetaminophen14 claims
  2. Triamcinolone Acetonide12 claims
  3. Ipratropium Bromide11 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 practice group's MIPS final score for 2023 (Medicare payment program): 82.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score71.8
  2. Costout of 100 · 30%66.1
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $1,360.03

13 payments; by number, the most common kind was food and beverage; the largest payer was Acclarent, Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Lori Cudone$1,360.03
  2. Specialty average$1,922.50

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Lori Cudone among 482 otolaryngology physician records in Illinois

Lori Cudone, M.D. is one of 482 otolaryngology physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 44% of them.

  • NPI issued2007 · 44% of these records are older, 48% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileNo · 60% of these records are
  • Record last updated2024 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Illinois

There are 482 otolaryngology physician records in Illinois.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Harry Borovik, M.D.Mattoon, IL 619381780767681
  2. Sandra Ettema, M.D., PH.D.Mattoon, IL 619381760577902
  3. Mary Gorman, M.D.Mattoon, IL 619381063636041
  4. Anand Ponnappan, MDMattoon, IL 619381629124243
  5. Michael Smith, M.D.Mattoon, IL 619381215043971
  6. Philip Kannel, DOAlton, IL 620021134177728
  7. Ayham Alkarmi, MDEdwardsville, IL 620251194399139
  8. James Fernandez, M.D.Granite City, IL 620401528037280

Common questions

What is Lori Cudone, M.D.'s NPI number?

Lori Cudone, M.D.'s National Provider Identifier (NPI) is 1003037169, issued on May 2, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Lori Cudone, M.D. located?

The NPPES record lists a practice address at 1005 Health Center Dr Ste 201, Mattoon, IL, 61938. Phone: (217) 258-2409. Providers update this record themselves, so call before visiting.

How can I verify Lori Cudone, M.D.'s license?

NPPES lists Illinois license number 036-127079, 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 Lori Cudone, M.D. prescribe under Medicare Part D?

In 2024, Lori Cudone, M.D. had 96 Medicare Part D claims for 58 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Lori Cudone, M.D.'s MIPS final score?

The 2023 MIPS final score is 82.1 of 100, reported for the practice group. 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.