DR. DEEPU SUDHAKARAN (M.D) – Surgery Physician, NPI 1528269214
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,426 GENERAL SURGERY in IL
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Provider Addresses for DR. DEEPU SUDHAKARAN (M.D)
Marion Diagnostic Center, 3003, Civic Circle Boulevard, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629595259
Phone: (618) 993-1400
Fax: (618) 993-1522
Type: Location
PO BOX 854
MARION, IL 629590854
Phone: (618) 993-1400
Fax: (618) 993-1522
Type: Mailing
10004 KENNERLY RD STE 295B
SAINT LOUIS, MO 631282177
Phone: (314) 500-2424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,686.
Total Amount is formed as General ($2,686) + Research ($0) + Ownership ($0) = $2,686.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,143).
Total Amount
$2,686
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,143 |
| Davol Inc. | $269 |
| Medtronic, Inc. | $209 |
| CONMED Corporation | $155 |
| Integra LifeSciences Corporation | $147 |
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: 2021-06-28
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110719000719 | I | General Surgery | IL | TBD |
| I20210628001340 | I | General Surgery | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 17 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 62959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MO |
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