DR. SWASTIK KUMAR SINHA (M.D.) – Orthopaedic Surgery Physician, NPI 1013163120
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for DR. SWASTIK KUMAR SINHA (M.D.)
510, Lincoln Drive, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 629486334
Phone: (618) 997-6800
Fax: (618) 997-1187
Type: Mailing
1191 FORTUNE BLVD STE 2
SHILOH, IL 622697474
Phone: (618) 713-5211
Type: Mailing
2840 Clark Ave
Saint Louis, MO 631032506
Phone: (314) 949-2893
Type: Location
775 SUNSET BLVD STE A
O FALLON, IL 622691960
Phone: (618) 713-5211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-10-05 • Largest payer in this snapshot: SI-BONE, INC. ($99).
Total Amount
$167
General + Research + Ownership
Payments
4
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $99 |
| Elite Orthopedics, Llc | $49 |
| Boston Scientific Corporation | $19 |
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: 2023-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170810001062 | I | Orthopedic Surgery | IL | TBD |
| I20230106000737 | I | Orthopedic Surgery | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 84 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 14 | 14 | $0 |
Insurance plans in this area (ZIP 62948)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 23 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL |
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