MR. RODNEY L LUPARDUS (M.D.) – Family Medicine Physician, NPI 1710946280

MR. RODNEY L LUPARDUS (M.D.) is a healthcare provider. based in Maryville, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036085633 (IL). The NPI Number for MR. RODNEY L LUPARDUS (M.D.) is 1710946280

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. RODNEY L LUPARDUS (M.D.)
NPI
1710946280
Phone
(618) 391-6405
Address
6810 STATE ROUTE 162 BOX 215
Enumeration Date
22 March 2006
Last Update Date
7 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183915065
Graduation Year
1984 (42 years ago)
PAC ID
4183610876
Group Practice PAC ID
5193792018
Professional Enrollment ID
I20040420001310
Address ID
IL622941836TR108XX40XX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for MR. RODNEY L LUPARDUS (M.D.)

  • 6810 STATE ROUTE 162 BOX 215

    MARYVILLE, IL 620628501

    Phone: (618) 391-6405

    Fax: (618) 288-4088

    Type: Mailing

  • Anderson Hospital Express Care, 108, West US Highway 40, Troy, Madison County, Illinois, 62294, United States

    TROY, IL 62294

    Phone: (618) 391-5065

    Fax: (618) 667-2779

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $676.

Total Amount is formed as General ($676) + Research ($0) + Ownership ($0) = $676.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($227).

Total Amount

$676

General + Research + Ownership

Payments

34

Total payment records

General Amount

$676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040420001310IFamily PracticeILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes181149$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit141141$0
99213Established patient office or other outpatient visit, 20-29 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193792018View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
General SurgeryIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
General SurgeryIL
-IL
Family PracticeMO
Family PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to MR. RODNEY L LUPARDUS (M.D.)?
The federal identifier for MR. RODNEY L LUPARDUS (M.D.) is NPI 1710946280.
Is MR. RODNEY L LUPARDUS (M.D.) active in the national directory?
MR. RODNEY L LUPARDUS (M.D.)'s public NPI profile is in an active state.
Does MR. RODNEY L LUPARDUS (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for MR. RODNEY L LUPARDUS (M.D.). Clinical services aligned with this taxonomy classification.
Does MR. RODNEY L LUPARDUS (M.D.) practice in Illinois?
You will see Maryville, Illinois on file for MR. RODNEY L LUPARDUS (M.D.) alongside any extra practice locations.
What if Maryville, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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