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DR. SATHYA SUBBIAH M.D.
NPI 1033128764
Internal Medicine - Endocrinology, Diabetes & Metabolism in Mattoon, IL

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
200 RICHMOND AVE E STE 3, MATTOON, IL 61938(217) 234-7000(217) 234-2060 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sathya Subbiah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SATHYA SUBBIAH M.D. (NPI 1033128764) is an individual endocrinology, diabetes & metabolism provider in Mattoon, Illinois, licensed in Illinois (036-104472) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033128764
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SATHYA SUBBIAHCredential: M.D.
Location Address200 RICHMOND AVE E STE 3Mattoon, IL 61938-4652
Mailing AddressPo Box 372Mattoon, IL 61938-0372 · (217) 868-2812 · Fax (217) 258-2216
Phone(217) 234-7000
Fax(217) 234-2060
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 5, 2006
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1033128764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IL · 036-104472
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036-104472 (IL)
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License 036-104472 (IL)
200 RICHMOND AVE E STE 3, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 234-7000 · Fax (217) 234-2060
Location 21801 Windsor RdChampaign, IL 61822-6217 · Phone (217) 366-5434

Other Identifiers 3

Medicaid036104472 1IL
Other279500Medicare Group
OtherP00382810Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sathya Subbiah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941197396
PECOS Enrollment IDI20040302000107
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
172 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services68 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
79 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers37 claims104 services$6.51 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers11 claims11 services$274.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers303 claims307 services$180.06 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers19 claims19 services$184.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH JO DUKEMAN APRN
Registered Nurse (Diabetes Educator)
200 RICHMOND AVE E STE 3
MATTOON, IL 61938
Coles County (217) 234-7000
DR. ANTONIOS PAPADOPOULOS MD
Internal Medicine (Nephrology)
200 RICHMOND AVE E STE 3
MATTOON, IL 61938
Coles County (217) 234-7000
NEHEMIAH T TAN M.D.
Internal Medicine (Rheumatology)
200 RICHMOND AVE E STE 3
MATTOON, IL 61938
Coles County (217) 238-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sathya Subbiah's NPI number?

The NPI number for Sathya Subbiah is 1033128764. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Sathya Subbiah located?

Sathya Subbiah practices at 200 Richmond Ave E Ste 3, Mattoon, IL 61938. The listed phone number is (217) 234-7000.

What is Sathya Subbiah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sathya Subbiah enrolled in Medicare?

Yes. Sathya Subbiah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sathya Subbiah affiliated with any hospitals?

According to CMS data, Sathya Subbiah is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Sathya Subbiah was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.