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DR. ANTONIOS PAPADOPOULOS MD
NPI 1467562116
Internal Medicine - Nephrology in Mattoon, IL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
200 RICHMOND AVE E STE 3, MATTOON, IL 61938(217) 234-7000 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antonios Papadopoulos Md NPPES

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

DR. ANTONIOS PAPADOPOULOS MD (NPI 1467562116) is an individual nephrology provider in Mattoon, Illinois, licensed in Illinois (036076692) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Addison.

NPPES Registry Identity

NPI1467562116
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ANTONIOS PAPADOPOULOSCredential: MD
Location Address200 RICHMOND AVE E STE 3Mattoon, IL 61938-4652
Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4653 · (217) 342-3400 · Fax (217) 258-2216
Phone(217) 234-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 31, 2020
NPPES CertifiedDecember 31, 2020
✔ NPI 1467562116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036076692
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036076692 (IL)
200 RICHMOND AVE E STE 3, Mattoon, IL 61938
Open in Google Maps ↗

Secondary Practice Location 1

Location 1240 E Lake St, Ste 102Addison, IL 60101 · Phone (630) 782-9780 · Fax (630) 782-9781

Other Identifiers 1

Medicaid036076692IL

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. Antonios Papadopoulos Md 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 ID547282865
PECOS Enrollment IDI20051229000425
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 8

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.
728 services404 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.
214 services170 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.
143 services143 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services15 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
14 services14 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
13 services13 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 3

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
5 suppliers15 claims40 services$6.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims19 services$1.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier30 claims30 services$7.44 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.

DR. SATHYA SUBBIAH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 RICHMOND AVE E STE 3
MATTOON, IL 61938
Coles County (217) 234-7000
HANNAH JO DUKEMAN APRN
Registered Nurse (Diabetes Educator)
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 Antonios Papadopoulos's NPI number?

The NPI number for Antonios Papadopoulos is 1467562116. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Antonios Papadopoulos located?

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

What is Antonios Papadopoulos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Antonios Papadopoulos enrolled in Medicare?

Yes. Antonios Papadopoulos 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 Antonios Papadopoulos affiliated with any hospitals?

According to CMS data, Antonios Papadopoulos is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Antonios Papadopoulos was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.