MR. SIKARIN UPALA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1013334556
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
455 ENDOCRINOLOGY in IL
Provider Addresses for MR. SIKARIN UPALA (M.D.)
4101 N WATER TOWER PL
MOUNT VERNON, IL 628646296
Phone: (182) 444-3136
Fax: (618) 244-5348
Type: Mailing
1615 Delaware St
Longview, WA 986322367
Phone: (360) 501-3601
Fax: (360) 501-3648
Type: Location
1615 DELAWARE ST
LONGVIEW, WA 986322367
Phone: (360) 414-7656
Type: Mailing
ASTRIA HEALTH CENTER
1420 AHTANUM RIDGE DR.
UNION GAP, WA 989039183
Phone: (509) 454-7700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $2,634.
Total Amount is formed as General ($2,634) + Research ($0) + Ownership ($0) = $2,634.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($1,611).
Total Amount
$2,634
General + Research + Ownership
Payments
66
Total payment records
General Amount
$2,634
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,611 |
| Bayer Healthcare Pharmaceuticals Inc. | $194 |
| Novo Nordisk Inc | $138 |
| Lilly USA, LLC | $118 |
| Dexcom, Inc. | $75 |
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: 2022-12-02
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 |
|---|---|---|---|---|
| I20221202001344 | I | Endocrinology | WA | 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 |
|---|---|---|---|---|
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 112 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 79 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 93 | 63 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 69 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 59 | 59 | $0 |
Insurance plans in this area (ZIP 62864)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WA | |
| - | WA | |
| Nurse Practitioner | MO | |
| Family Practice | WA | |
| Pain Management, Podiatry, Podiatry | WA | |
| Nurse Practitioner | WA | |
| Plastic And Reconstructive Surgery | WA | |
| General Surgery, Vascular Surgery | AZ | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.