DR. JOHN P. OPILKA (D.O.) – Family Medicine Physician, NPI 1497715056
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. JOHN P. OPILKA (D.O.)
5, East Cumberland Road, East Meadows, Altamont, Effingham County, Illinois, 62411, United States
ALTAMONT, IL 624111271
Phone: (618) 483-6151
Fax: (618) 483-6153
Type: Location
8 N 3RD ST
ALTAMONT, IL 624111408
Phone: (618) 483-6151
Fax: (618) 483-6153
Type: Location
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384653
Phone: (217) 342-3400
Fax: (217) 258-2216
Type: Mailing
1207, Network Centre Drive, Effingham, Effingham County, Illinois, 62401, United States
SUITE 3
EFFINGHAM, IL 624014632
Phone: (217) 347-2707
Fax: (217) 347-2827
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Amgen Inc. ($119).
Total Amount
$256
General + Research + Ownership
Payments
8
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $119 |
| ABBVIE INC. | $24 |
| Mylan Specialty L.P. | $23 |
| Astellas Pharma US Inc | $23 |
| E.R. Squibb & Sons, L.L.C. | $17 |
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: 2005-11-21
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 |
|---|---|---|---|---|
| I20051121000215 | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 731 | 123 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 360 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 354 | 208 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 316 | 196 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 163 | 126 | $0 |
Insurance plans in this area (ZIP 62411)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL |
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