REGINALD A EBIRIM (M.D.) – Family Medicine Physician, NPI 1396702957
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for REGINALD A EBIRIM (M.D.)
650 W Columbia
Arthur, IL 61911
Phone: (217) 543-3869
Fax: (217) 543-3651
Type: Location
2670 LAKE REUNION RD
DECATUR, IL 625218407
Phone: (217) 543-3869
Fax: (217) 543-3651
Type: Mailing
ThedaCare Medical Center-New London, 1405, Mill Street, New London, Town of Hortonia, Outagamie County, Wisconsin, 54961, United States
NEW LONDON, WI 549612155
Phone: (920) 531-2000
Fax: (920) 531-2098
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $853.
Total Amount is formed as General ($853) + Research ($0) + Ownership ($0) = $853.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($122).
Total Amount
$853
General + Research + Ownership
Payments
36
Total payment records
General Amount
$853
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $122 |
| Novo Nordisk Inc | $121 |
| PFIZER INC. | $119 |
| Amgen Inc. | $111 |
| Lilly USA, LLC | $93 |
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: 2005-09-17
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 |
|---|---|---|---|---|
| I20050917000240 | 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 | 378 | 307 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 89 | 65 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 53 | 15 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 33 | 26 | $0 |
Insurance plans in this area (ZIP 61911)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine | IL |
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