DR. SREENIVASA BASAVANTHAPPA (MD) – Ophthalmology Physician, NPI 1497953871
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
Provider Addresses for DR. SREENIVASA BASAVANTHAPPA (MD)
322 W Marion Ave
Forsyth, IL 625351064
Phone: (217) 872-7404
Fax: (217) 872-7432
Type: Location
479, Old Union Turnpike, Lancaster, Worcester County, Massachusetts, 01453-3312, United States
LANCASTER, MA 015233029
Phone: (978) 537-3900
Fax: (978) 537-6030
Type: Mailing
1008 N MAIN ST
BLOOMINGTON, IL 617011784
Phone: (309) 557-8666
Fax: (309) 661-0545
Type: Mailing
2501 E COLLEGE AVE STE B
BLOOMINGTON, IL 617042484
Phone: (309) 557-8666
Fax: (309) 827-8027
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,177.
Total Amount is formed as General ($1,177) + Research ($0) + Ownership ($0) = $1,177.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($302).
Total Amount
$1,177
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $302 |
| Astellas Pharma US Inc | $266 |
| Regeneron Healthcare Solutions, Inc. | $246 |
| Genentech USA, Inc. | $123 |
| Apellis Pharmaceuticals, Inc. | $82 |
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: 2023-04-10
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 |
|---|---|---|---|---|
| I20230410001625 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 34,261 | 155 | $0 |
| 92134 | Imaging of retina | 2,862 | 1,006 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 2,274 | 386 | $0 |
| 67028 | Injection of drug into eye | 2,208 | 660 | $0 |
| 92014 | Established patient complete exam of visual system | 968 | 710 | $0 |
Insurance plans in this area (ZIP 62535)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | CA | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | PA | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL |
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