SARA M CANNON (MD) – Obstetrics & Gynecology Physician, NPI 1770594723
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
630 OBSTETRICS/GYNECOLOGY in KY
Provider Addresses for SARA M CANNON (MD)
390, Maple Summit Road, Jerseyville, Jersey County, Illinois, 62052, United States
JERSEYVILLE, IL 62052
Phone: (618) 498-7518
Fax: (618) 498-3052
Type: Mailing
300 S 8TH ST STE 480W
MURRAY, KY 420712403
Phone: (270) 762-1321
Type: Mailing
1025 MAINE ST
QUINCY, IL 623014096
Phone: (217) 222-6550
Fax: (217) 277-2253
Type: Mailing
1118 HAMPSHIRE ST
QUINCY, IL 623013027
Phone: (217) 222-6550
Fax: (217) 277-2253
Type: Location
St Anthonys Way, Alton, Madison County, Illinois, 62002, United States
STE 105
ALTON, IL 62002
Phone: (618) 463-1111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $765.
Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Astellas Pharma US Inc ($154).
Total Amount
$765
General + Research + Ownership
Payments
38
Total payment records
General Amount
$765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $154 |
| Sumitomo Pharma America, Inc. | $106 |
| ABBVIE INC. | $74 |
| PFIZER INC. | $47 |
| Amgen Inc. | $41 |
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: 2025-09-23
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 |
|---|---|---|---|---|
| I20060821000337 | I | Obstetrics/Gynecology | IL | TBD |
| I20250923000307 | I | Obstetrics/Gynecology | KY | 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 | 54 | 41 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 46 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 23 | 23 | $0 |
Insurance plans in this area (ZIP 62052)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | IL | 76830 | Ultrasound pelvis through vagina | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| - | KY | |
| Nurse Practitioner | OH | |
| H E M A T O L O G Y/ O N C O L O G Y | MO | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| General Surgery | KY |
Reviews
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