PRAYAG NAINESHKUMAR PATEL (MD) – Family Medicine Physician, NPI 1295175487
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
Provider Addresses for PRAYAG NAINESHKUMAR PATEL (MD)
525 E GRANT ST
MACOMB, IL 614553313
Phone: (309) 833-4101
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 $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($97).
Total Amount
$97
General + Research + Ownership
Payments
1
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $97 |
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: 2016-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160908003004 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 232 | 117 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 149 | 133 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 141 | 126 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 70 | 45 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 61455)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| General Surgery | IL | |
| - | TN | |
| A N E S T H E S I O L O G Y | IA | |
| Physician Assistant | IL | |
| - | IL | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | WI | |
| Nurse Practitioner | IL |
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.