TAD A YETTER (M.D.) – Internal Medicine Physician, NPI 1245296979

TAD A YETTER (M.D.) is a healthcare provider. based in Havana, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036079681 (IL). The NPI Number for TAD A YETTER (M.D.) is 1245296979

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
TAD A YETTER (M.D.)
NPI
1245296979
Phone
(309) 543-6600
Address
615 N PROMENADE ST
Enumeration Date
21 April 2006
Last Update Date
1 June 2012

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096476090
Graduation Year
1987 (39 years ago)
PAC ID
5496749657
Group Practice PAC ID
1355259714
Professional Enrollment ID
I20100508000142
Address ID
IL615201054CA2076XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Loading map...

Provider Addresses for TAD A YETTER (M.D.)

  • Mason District Hospital, 615, North Promenade Street, Havana, Mason County, Illinois, 62644, United States

    P O BOX 530

    HAVANA, IL 626441015

    Phone: (309) 543-6600

    Fax: (309) 543-2089

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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: 2010-05-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100508000142IInternal MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8251$0
36415Insertion of needle into vein for collection of blood sample3421$0
99213Established patient office or other outpatient visit, 20-29 minutes2824$0
99215Established patient office or other outpatient visit, 40-54 minutes2116$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 62644)

Loading plans...

Provider's Procedures

TAD A YETTER (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL45378Diagnostic examination of large bowel using an endoscope1111
INTERNAL MEDICINEIL45385Removal of polyps or growths of large bowel using an endoscope1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355259714View full group profile

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.

Frequently asked questions

Does TAD A YETTER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TAD A YETTER (M.D.) uses 1245296979.
Can I rely on TAD A YETTER (M.D.) being an active provider?
As of the registry snapshot, TAD A YETTER (M.D.) is marked active.
What healthcare role does TAD A YETTER (M.D.) hold?
Scheduling teams often label TAD A YETTER (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for TAD A YETTER (M.D.)?
TAD A YETTER (M.D.)'s geographic hint is Havana, Illinois in our summary view.
Is the information about TAD A YETTER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

RICHARD W WAGONER (M.D.)

Internal Medicine Physician
Mason District Hospital, 615, North Promenade Street, Havana, Mason County, Illinois, 62644, United States
NPI: 1861458952

DANIEL PATRICK STOOPS (M.D.)

Internal Medicine Physician
3901, Old Mill Lane, Archer, Springfield, Sangamon County, Illinois, 62711, United States
NPI: 1801953724
PO BOX 530
NPI: 1003120783

DR. KAYLA R MILLER (M.D.)

Internal Medicine Physician
615 N PROMENADE ST
NPI: 1033524350