CLARK OLAVI ANDELIN (MD) – Obstetrics & Gynecology Physician, NPI 1013114453
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,925 OBSTETRICS/GYNECOLOGY in IL
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Provider Addresses for CLARK OLAVI ANDELIN (MD)
927, Broadway Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623012719
Phone: (217) 223-8400
Fax: (217) 223-9172
Type: Location
1005, Broadway Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623012834
Phone: (217) 223-8400
Type: Mailing
1005 BROADWAY ST
QUINCY, IL 623012834
Phone: (217) 223-8400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Astellas Pharma US Inc ($141).
Total Amount
$293
General + Research + Ownership
Payments
11
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $141 |
| Organon LLC | $47 |
| Ethicon US, LLC | $37 |
| Davol Inc. | $30 |
| ABBVIE INC. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190419000827 | I | Obstetrics/Gynecology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| - | IL | |
| N E U R O L O G Y | MI | |
| Radiation Oncology | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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