MOHAMMAD TABATABAEI P.A.-C
NPI 1215954813
Physician Assistant in Sullivan, IL

Q: What is Mohammad Tabatabaei's NPI number?

The NPI number for Mohammad Tabatabaei is 1215954813. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Mohammad Tabatabaei's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

67.18/100

CMS Quality Rating

1220 W JACKSON ST, SULLIVAN, IL 61951(217) 728-2042(217) 728-2485 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mohammad Tabatabaei P.a.-c NPPES

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

MOHAMMAD TABATABAEI P.A.-C (NPI 1215954813) is an individual physician assistant in Sullivan, Illinois, licensed in Illinois (085-002332) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1215954813

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMOHAMMAD TABATABAEICredential: P.A.-C

Location Address1220 W JACKSON STSullivan, IL 61951-1032

Mailing Address2300 N Edward St, GsbllDecatur, IL 62526-4163 · (217) 876-2857 · Fax (217) 876-2874

Phone(217) 728-2042

Fax(217) 728-2485

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 17, 2006

Last NPPES UpdateJanuary 10, 2023

NPPES CertifiedJanuary 10, 2023

✔ NPI 1215954813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085-002332

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1220 W JACKSON ST, Sullivan, IL 61951

Open in Google Maps ↗

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

Mohammad Tabatabaei P.a.-c 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 ID5092771535

PECOS Enrollment IDI20041206001120

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 3

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.

835 services403 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.

303 services202 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

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

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141354

Location200 S Cedar StShelbyville, IL 62565 · Shelby County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61951 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

67.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.86

Improvement Activities

Cost

56.87

Referred Medical Equipment & Supplies CMS DME claims 25

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

12 suppliers97 claims257 services$5.22 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers33 claims42 services$0.84 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers56 claims56 services$39.47 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

6 suppliers41 claims41 services$103.10 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers40 claims88 services$40.45 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers18 claims79 services$25.00 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers21 claims112 services$18.45 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers40 claims40 services$68.86 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers50 claims50 services$22.61 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers13 claims13 services$21.39 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers75 claims389 services$2.56 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

3 suppliers14 claims14 services$6.91 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

6 suppliers33 claims33 services$11.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$17.39 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$906.26 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier11 claims11 services$127.93 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers47 claims47 services$15.84 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers18 claims20 services$8.81 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers94 claims94 services$44.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers60 claims60 services$105.58 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers15 claims15 services$38.32 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers30 claims4,590 services$0.08 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

6 suppliers38 claims40 services$195.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$33.17 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers21 claims21 services$24.83 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 2

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

MRS. PATRICIA E CARR FNP

Nurse Practitioner (Family)

1220 W JACKSON ST
SULLIVAN, IL 61951

Moultrie County (217) 728-2042

DECATUR MEMORIAL HOSPITAL

Clinic/Center (Rural Health)

1220 W JACKSON ST
SULLIVAN, IL 61951

Moultrie County (217) 728-2042

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 Mohammad Tabatabaei's NPI number?

The NPI number for Mohammad Tabatabaei is 1215954813. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mohammad Tabatabaei located?

Mohammad Tabatabaei practices at 1220 W Jackson St, Sullivan, IL 61951. The listed phone number is (217) 728-2042.

What is Mohammad Tabatabaei's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mohammad Tabatabaei enrolled in Medicare?

Yes. Mohammad Tabatabaei 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 Mohammad Tabatabaei affiliated with any hospitals?

According to CMS data, Mohammad Tabatabaei is affiliated with Decatur Memorial Hospital, St Marys Hospital, Sarah Bush Lincoln Health Center and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Mohammad Tabatabaei was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.