MADHU DUKKIPATI (M.D.) – Interventional Cardiology Physician, NPI 1063436715
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
464 INTERVENTIONAL CARDIOLOGY in IL
Provider Addresses for MADHU DUKKIPATI (M.D.)
619 E MASON ST STE 4P57
SPRINGFIELD, IL 627011034
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Mailing
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
505 E GRANT ST STE 110
MACOMB, IL 614553308
Phone: (217) 528-7541
Fax: (217) 525-2535
Type: Location
619, East Mason Street, Springfield, Sangamon County, Illinois, 62701, United States
SUITE 4P57
SPRINGFIELD, IL 627011344
Phone: (217) 788-0706
Fax: (217) 525-2535
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $2,539.
Total Amount is formed as General ($2,539) + Research ($0) + Ownership ($0) = $2,539.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boston Scientific Corporation ($619).
Total Amount
$2,539
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,539
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $619 |
| Amgen Inc. | $390 |
| BIOTRONIK INC. | $173 |
| Shockwave Medical, Inc | $159 |
| Novo Nordisk Inc | $126 |
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: 2005-10-25
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 |
|---|---|---|---|---|
| I20051025000628 | I | Interventional Cardiology | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 773 | 597 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 440 | 400 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 199 | 188 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 153 | 68 | $0 |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 118 | 118 | $0 |
Insurance plans in this area (ZIP 62701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | IL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 55 | 50 |
| INTERVENTIONAL CARDIOLOGY | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 496 | 402 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL |
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