DR. VISHESH PAUL (M.D.) – Pulmonary Disease Physician, NPI 1932396868
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
848 PULMONARY DISEASE in IL
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Provider Addresses for DR. VISHESH PAUL (M.D.)
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012500
Phone: (217) 383-6792
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 19 Open Payments records for all available years, with a total value of $2,081.
Total Amount is formed as General ($2,081) + Research ($0) + Ownership ($0) = $2,081.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($773).
Total Amount
$2,081
General + Research + Ownership
Payments
19
Total payment records
General Amount
$2,081
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
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: 2014-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (956 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20141001001512 | I | Pulmonary Disease | IL | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 161 | 119 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 97 | 47 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 40 | $0 |
| 99291 | Critical care, first 30-74 minutes | 51 | 32 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 50 | 47 | $0 |
Insurance plans in this area (ZIP 61801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | WI | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| Diagnostic Radiology | NY | |
| - | IL |
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