DR. CLAUDIA NUGENT (M.D.) – Gastroenterology Physician, NPI 1629085212
Gastroenterology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for DR. CLAUDIA NUGENT (M.D.)
101, West University Avenue, Champaign, Champaign County, Illinois, 61820, United States
CHAMPAIGN, IL 618203909
Phone: (217) 366-6162
Type: Location
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 618223743
Phone: (217) 366-6162
Type: Location
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 $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: ABBVIE INC. ($114).
Total Amount
$163
General + Research + Ownership
Payments
8
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $114 |
| NESTLE HEALTHCARE NUTRITION INC. | $48 |
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: 2010-09-02
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 |
|---|---|---|---|---|
| I20100902000437 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 219 | 160 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 131 | 129 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 104 | 104 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 61 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $0 |
Insurance plans in this area (ZIP 61820)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 39 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| - | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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