DR. PAUL E LOETHEN (MD) – Surgery Physician, NPI 1053595538
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for DR. PAUL E LOETHEN (MD)
St Anthonys Way, Alton, Madison County, Illinois, 62002, United States
SUITE 305
ALTON, IL 620024569
Phone: (618) 465-8019
Type: Mailing
1414 CROSS STREET
SUITE 330
SHILOH, IL 622692998
Phone: (618) 277-7400
Fax: (618) 277-7422
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $714.
Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($573).
Total Amount
$714
General + Research + Ownership
Payments
10
Total payment records
General Amount
$714
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-08-26
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 |
|---|---|---|---|---|
| I20090826000177 | I | General Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 143 | 68 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 86 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 63 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 48 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | IL | |
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL | |
| Certified Nurse Midwife (Cnm) | IL |
Reviews
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