DR. PRATHIMA JASTI (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1699971473
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
455 ENDOCRINOLOGY in IL
Provider Addresses for DR. PRATHIMA JASTI (M.D.)
528 W Oakdale Ave
apt 421
Chicago, IL 606575751
Phone: (773) 244-9216
Type: Location
Northwoods Drive, Lincoln County, Missouri, United States
LINCOLN, NE 685052093
Phone: (402) 484-3440
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Tandem Diabetes Care, Inc. ($79).
Total Amount
$333
General + Research + Ownership
Payments
20
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-06-25
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20140616001136 | I | Endocrinology | NE | TBD |
| I20250625001562 | I | Endocrinology | TX | 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 | 420 | 224 | $0 |
| 83036 | Hemoglobin a1c level | 244 | 135 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 204 | 153 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 179 | 90 | $0 |
| 82947 | Blood glucose (sugar) level | 152 | 88 | $0 |
Insurance plans in this area (ZIP 60657)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ENDOCRINOLOGY | IL | 83036 | Hemoglobin A1C level | 163 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | TX | |
| Physician Assistant | TX |
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