DR. THEODORE REXFORD ADDAI (M.D.) – Cardiovascular Disease Physician, NPI 1912985185
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
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Provider Addresses for DR. THEODORE REXFORD ADDAI (M.D.)
Saint Mary's Hospital, 1800, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States
DECATUR, IL 625213810
Phone: (217) 422-6100
Fax: (217) 422-7897
Type: Mailing
2965 N Main St Ste E
Decatur, IL 625264392
Phone: (217) 422-6100
Type: Location
1770 E LAKE SHORE DR STE 105
DECATUR, IL 625213800
Phone: (217) 422-6100
Fax: (833) 784-5326
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $709.
Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($145).
Total Amount
$709
General + Research + Ownership
Payments
36
Total payment records
General Amount
$709
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
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: 2006-09-14
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 |
|---|---|---|---|---|
| I20060914000039 | I | Cardiovascular Disease (Cardiology) | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 409 | 298 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 346 | 325 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 308 | 263 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 272 | 261 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 160 | 86 | $0 |
Insurance plans in this area (ZIP 62521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Interventional Cardiology | MI | |
| Interventional Cardiology | MO | |
| Vascular Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine, Cardiac Electrophysiology | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IL |
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