MRS. MARY KATHERINE IMIG (DO) – Family Medicine Physician, NPI 1912492448
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for MRS. MARY KATHERINE IMIG (DO)
208, Harbor Pointe Drive, East Peoria, Tazewell County, Illinois, 61611, United States
EAST PEORIA, IL 616115801
Phone: (309) 258-0389
Type: Mailing
815 MAIN ST STE C
PEORIA, IL 616021080
Phone: (309) 672-4977
Type: Location
411 MAXINE DRIVE
MORTON, IL 61550
Phone: (309) 263-2411
Fax: (309) 263-2208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $716.
Total Amount is formed as General ($716) + Research ($0) + Ownership ($0) = $716.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($127).
Total Amount
$716
General + Research + Ownership
Payments
37
Total payment records
General Amount
$716
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
| Company | Amount |
|---|---|
| PFIZER INC. | $127 |
| Novartis Pharmaceuticals Corporation | $73 |
| Novo Nordisk Inc | $64 |
| ABBVIE INC. | $61 |
| Kowa Pharmaceuticals America, Inc. | $40 |
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: 2021-06-22
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 |
|---|---|---|---|---|
| I20210622002752 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 377 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 151 | 100 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 108 | 22 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 101 | 15 | $0 |
| 81003 | Automated urinalysis test | 76 | 49 | $0 |
Insurance plans in this area (ZIP 61611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| - | GA | |
| Family Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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