DR. CARLOS RAFAEL SIERRA-RODRIGUEZ (M.D.) – Obstetrics & Gynecology Physician, NPI 1700865268
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,925 OBSTETRICS/GYNECOLOGY in IL
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Provider Addresses for DR. CARLOS RAFAEL SIERRA-RODRIGUEZ (M.D.)
1407, McPherson Avenue, Mount Vernon, Jefferson County, Illinois, 62864, United States
MANSION REAL
MOUNT VERNON, IL 628642822
Phone: (877) 456-2496
Type: Mailing
544, West Pershing Road, Decatur, Macon County, Illinois, 62526, United States
DECATUR, IL 625263226
Phone: (217) 782-2400
Type: Location
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
1000 HEALTH CENTER DR STE 201
MATTOON, IL 619384639
Phone: (217) 258-4030
Fax: (217) 258-2353
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $1,927.
Total Amount is formed as General ($1,927) + Research ($0) + Ownership ($0) = $1,927.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,792).
Total Amount
$1,927
General + Research + Ownership
Payments
6
Total payment records
General Amount
$1,927
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,792 |
| Sun Pharmaceutical Industries Inc. | $113 |
| Smith+Nephew, Inc. | $22 |
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: 2017-03-16
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 |
|---|---|---|---|---|
| I20040911000141 | I | Obstetrics/Gynecology | PR | TBD |
| I20170316001222 | I | Obstetrics/Gynecology | 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 | 29 | 25 | $0 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | 16 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Infectious Disease | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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