DR. CEISHA UKATU (M.D.) – Otolaryngology Physician, NPI 1326453465
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for DR. CEISHA UKATU (M.D.)
720 N Bond St
Springfield, IL 627024952
Phone: (217) 545-8000
Fax: (217) 545-0253
Type: Location
PO BOX 6278
FORT WORTH, TX 761150278
Phone: (682) 385-7010
Fax: (682) 385-7011
Type: Mailing
12001 SOUTH FWY STE 209
BURLESON, TX 760287214
Phone: (682) 385-7010
Fax: (682) 385-7011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,484.
Total Amount is formed as General ($2,484) + Research ($0) + Ownership ($0) = $2,484.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,241).
Total Amount
$2,484
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $2,241 |
| Inspire Medical Systems, Inc. | $146 |
| Regeneron Healthcare Solutions, Inc. | $73 |
| KARL STORZ Endoscopy-America | $25 |
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: 2023-09-14
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 |
|---|---|---|---|---|
| I20190618000937 | I | Otolaryngology | TX | TBD |
| I20230914002978 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 92504 | Exam of ear using a microscope | 50 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 46 | 46 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 30 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 31 | 22 | $0 |
Insurance plans in this area (ZIP 62702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Qualified Audiologist | TX | |
| Qualified Audiologist | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| O T O L A R Y N G O L O G Y | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Qualified Audiologist | TX |
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