DR. SAPNA S. RATHI (M.D.) – Neurology Physician, NPI 1932140472
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. SAPNA S. RATHI (M.D.)
1, South Virginia Street, Crystal Lake, McHenry County, Illinois, 60014, United States
CRYSTAL LAKE, IL 600145826
Phone: (815) 356-9371
Fax: (815) 356-9428
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $918.
Total Amount is formed as General ($918) + Research ($0) + Ownership ($0) = $918.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: PFIZER INC. ($319).
Total Amount
$918
General + Research + Ownership
Payments
41
Total payment records
General Amount
$918
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $319 |
| HARMONY BIOSCIENCES LLC | $238 |
| ABBVIE INC. | $219 |
| Vanda Pharmaceuticals Inc. | $71 |
| Alexion Pharmaceuticals, Inc. | $27 |
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: 2005-02-04
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 |
|---|---|---|---|---|
| I20050204000805 | I | Neurology | 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 | 474 | 59 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 194 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 32 | $0 |
Insurance plans in this area (ZIP 60014)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 294 | 71 |
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