JAMES C ALTHOFF (MD) – Family Medicine Physician, NPI 1306952098
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for JAMES C ALTHOFF (MD)
251 MARKET PLACE DRIVE
SUITE 100
FREEBURG, IL 622431393
Phone: (618) 539-0067
Fax: (618) 539-0288
Type: Location
Rural Family Medicine Associates, 739, North Jefferson Street, Mascoutah, Saint Clair County, Illinois, 62258, United States
SUITE 200
MASCOUTAH, IL 62258
Phone: (618) 566-8810
Fax: (618) 566-7121
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,293.
Total Amount is formed as General ($1,293) + Research ($0) + Ownership ($0) = $1,293.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($364).
Total Amount
$1,293
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,293
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 |
|---|---|
| AstraZeneca Pharmaceuticals LP | $364 |
| Lilly USA, LLC | $327 |
| Astellas Pharma US Inc | $72 |
| GlaxoSmithKline, LLC. | $71 |
| Dexcom, Inc. | $58 |
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: 2010-07-19
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 |
|---|---|---|---|---|
| I20100719000400 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 373 | 210 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 317 | 188 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 143 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 89 | 32 | $0 |
| 81002 | Urinalysis, manual test | 64 | 49 | $0 |
Insurance plans in this area (ZIP 62243)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Colorectal Surgery (Proctology), General Surgery | GA | |
| Family Practice | IL | |
| General Surgery | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Family Practice | MO | |
| General Surgery | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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