RAJA C MADDIPOTI (M.D.) – Cardiovascular Disease Physician, NPI 1215019328
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for RAJA C MADDIPOTI (M.D.)
Saint Anthony's Memorial Hospital, 503, North Maple Street, Effingham, Effingham County, Illinois, 62401, United States
EFFINGHAM, IL 624012006
Phone: (217) 342-3700
Fax: (217) 342-6286
Type: Mailing
409 W Oak St
Carbondale, IL 629011414
Phone: (618) 529-4455
Fax: (618) 351-1287
Type: Location
PO BOX 26067
SALT LAKE CITY, UT 841260067
Phone: (239) 624-0400
Fax: (239) 624-0464
Type: Mailing
625 9TH ST N STE 201
NAPLES, FL 341028143
Phone: (239) 261-2000
Fax: (239) 261-2266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($65).
Total Amount
$180
General + Research + Ownership
Payments
9
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $65 |
| Amgen Inc. | $42 |
| HeartFlow, Inc. | $26 |
| Novo Nordisk Inc | $24 |
| Lexicon Pharmaceuticals, Inc. | $22 |
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: 2020-03-10
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 |
|---|---|---|---|---|
| I20200310001424 | I | Cardiovascular Disease (Cardiology) | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 337 | 227 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 257 | 253 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 120 | 120 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 108 | 106 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 104 | 89 | $0 |
Insurance plans in this area (ZIP 62401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 3140 | 1746 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 67 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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