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DR. JANET L ALVARADO M.D.
NPI 1336114818
Internal Medicine in Highland, IL

Active since February 20, 2006PECOS Enrolled
94.61/100
CMS Quality Rating
821 POPLAR STREET, HIGHLAND, IL 62249(618) 654-7578(618) 654-1703 Get Directions Write a Review

NPPES record last updated: October 25, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Janet L Alvarado M.d. NPPES

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

DR. JANET L ALVARADO M.D. (NPI 1336114818) is an individual internal medicine provider in Highland, Illinois, licensed in Illinois (0036-087968) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336114818
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JANET L ALVARADOCredential: M.D.
Location Address821 POPLAR STREETHighland, IL 62249-1677
Mailing Address821 Poplar StreetHighland, IL 62249-1677 · (618) 654-7578 · Fax (618) 654-1703
Phone(618) 654-7578
Fax(618) 654-1703
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateOctober 25, 2010
✔ NPI 1336114818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 0036-087968
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
821 POPLAR STREET, Highland, IL 62249
Open in Google Maps ↗

Other Identifiers 9

Other224413IL · Healthlink
Medicare UPINF44090IL
Medicare ID-Type Unspecified454770IL
Other10637693IL · Caqh
Other2414373IL · Aetna
Other4408IL · Group Health Plan
Other06021399IL · Bcbs
OtherPC16015IL · Cigna
Other0400952IL · Uhc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Janet L Alvarado M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Janet Alvarado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sjl Health Systems Inc
54 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
25 services24 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62249 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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
7 suppliers29 claims70 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims13 services$1.04 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims130 services$5.52 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$1.51 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers18 claims18 services$74.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims47 services$26.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Janet Alvarado's NPI number?

The NPI number for Janet Alvarado is 1336114818. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Janet Alvarado located?

Janet Alvarado practices at 821 Poplar Street, Highland, IL 62249. The listed phone number is (618) 654-7578.

What is Janet Alvarado's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Janet Alvarado enrolled in Medicare?

Yes. Janet Alvarado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Janet Alvarado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janet Alvarado reassigns Medicare benefits to Sjl Health Systems Inc (Pana, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janet Alvarado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Janet Alvarado was last updated on October 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.