PUJA GURUNG (M.D.) – Sleep Medicine (Family Medicine) Physician, NPI 1063727832
Sleep Medicine (Family Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for PUJA GURUNG (M.D.)
1 MEMORIAL DR
ALTON, IL 620026722
Phone: (618) 463-7240
Fax: (618) 463-7216
Type: Mailing
4 MEMORIAL DR STE 230
ALTON, IL 620026704
Phone: (618) 433-6616
Type: Location
1225 Graham Rd Ste 1220B
Florissant, MO 630318012
Phone: (618) 466-6616
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,252.
Total Amount is formed as General ($1,252) + Research ($0) + Ownership ($0) = $1,252.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($264).
Total Amount
$1,252
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,252
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $264 |
| HARMONY BIOSCIENCES LLC | $205 |
| Inspire Medical Systems, Inc. | $86 |
| Axsome Therapeutics, Inc. | $73 |
| UCB, Inc. | $50 |
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: 2021-10-08
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 |
|---|---|---|---|---|
| I20130618000142 | I | Sleep Medicine | IL | TBD |
| I20211008001543 | I | Sleep Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 323 | 184 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 94 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 97 | 97 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 58 | 55 | $0 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 50 | 49 | $0 |
Insurance plans in this area (ZIP 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | MO | |
| Physician Assistant | IL | |
| Hospitalist, Internal Medicine, Pediatric Medicine, Hospitalist | MO | |
| Family Practice | IL | |
| Hospitalist, Family Practice | IL | |
| E N D O C R I N O L O G Y | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
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