DR. LAWRENCE ATHERTON (M.D.) – Cardiovascular Disease Physician, NPI 1124033642
Cardiovascular Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. LAWRENCE ATHERTON (M.D.)
101, West University Avenue, Champaign, Champaign County, Illinois, 61820, United States
CHAMPAIGN, IL 618203981
Phone: (217) 366-1304
Fax: (217) 366-7427
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 79 Open Payments records for all available years, with a total value of $1,493.
Total Amount is formed as General ($1,493) + Research ($0) + Ownership ($0) = $1,493.
Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($292).
Total Amount
$1,493
General + Research + Ownership
Payments
79
Total payment records
General Amount
$1,493
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-04
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: 2010-08-26
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 |
|---|---|---|---|---|
| I20100826000790 | I | Cardiovascular Disease (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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 690 | 383 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 645 | 615 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 405 | 172 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 310 | 305 | $0 |
| Q9956 | Injection, octafluoropropane microspheres, per ml | 246 | 78 | $0 |
Insurance plans in this area (ZIP 61820)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 11 | 11 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 695 | 660 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| - | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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