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PRASHANT JAGTAP MD
NPI 1619390846
Internal Medicine - Critical Care Medicine in Springfield, IL

Active since January 23, 2014PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
800 E CARPENTER ST, SPRINGFIELD, IL 62769(217) 544-6464(217) 757-6417 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Dec 30, 2021, Jun 28, 2016 (3 updates tracked since 2016).

About Prashant Jagtap Md NPPES

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

PRASHANT JAGTAP MD (NPI 1619390846) is an individual critical care medicine provider in Springfield, Illinois, licensed in Illinois (036139333) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619390846
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePRASHANT JAGTAPCredential: MD
Location Address800 E CARPENTER STSpringfield, IL 62769-1000
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Phone(217) 544-6464
Fax(217) 757-6417
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 23, 2014
Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1619390846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036139333
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
800 E CARPENTER ST, Springfield, IL 62769
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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

Prashant Jagtap 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 ID3274751177
PECOS Enrollment IDI20250711003787
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
254 services113 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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.

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

Other Providers at the Same Location NPPES 20

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

SANDRA SCROGGINS MD
Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 814-5178
STEPHANIE WEITEKAMP
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 544-6464
CEP AMERICA ILLINOIS INTENSIVISTS
Internal Medicine (Critical Care Medicine)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 544-6464
DR. TERENCE EDWARD WADE M.D.
Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 544-6464
CASSI BRIELLE GROTEPAS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 522-3117
DEEPAK AGARWAL M.D.
Anesthesiology
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 544-6464
DR. ONSI W KAMEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 544-6464
MISS ASHLEY NICOLE TILL OTR/L
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Sangamon County (217) 544-6464

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 Prashant Jagtap's NPI number?

The NPI number for Prashant Jagtap is 1619390846. It was assigned to this individual provider in the NPPES registry on January 23, 2014.

Where is Prashant Jagtap located?

Prashant Jagtap practices at 800 E Carpenter St, Springfield, IL 62769. The listed phone number is (217) 544-6464.

What is Prashant Jagtap's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Prashant Jagtap enrolled in Medicare?

Yes. Prashant Jagtap 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 Prashant Jagtap affiliated with any hospitals?

According to CMS data, Prashant Jagtap is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Jagtap was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.