DR. ABHISH KOIRALA (M.D.) – Hospitalist Physician, NPI 1134474471
Hospitalist Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. ABHISH KOIRALA (M.D.)
201 S 14TH ST
HERRIN, IL 629483631
Phone: (618) 942-2171
Fax: (618) 988-6166
Type: Mailing
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Fax: (618) 684-1040
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 529-0479
Type: Location
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 942-2171
Fax: (618) 988-6166
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($73).
Total Amount
$138
General + Research + Ownership
Payments
8
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $73 |
| ABBVIE INC. | $46 |
| E.R. Squibb & Sons, L.L.C. | $18 |
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: 2023-06-09
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 |
|---|---|---|---|---|
| I20170623000188 | I | Hospitalist | IL | TBD |
| I20230609000405 | I | Internal Medicine | TN | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 599 | 266 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 275 | 115 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 207 | 106 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 131 | 130 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 110 | 107 | $0 |
Insurance plans in this area (ZIP 62948)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Internal Medicine, Infectious Disease | TN | |
| Internal Medicine, Hospitalist | MI | |
| Internal Medicine | NY | |
| Internal Medicine | TN | |
| Internal Medicine | TN | |
| Family Practice | TN | |
| Internal Medicine | FL | |
| Internal Medicine, Hospitalist | FL |
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.