Active NPI 1215954813 Individual Practitioner Male Practitioner

Mohammad Tabatabaei , PA-C

Physician Assistant • Sullivan, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mohammad Tabatabaei, PA-C is a certified Physician Assistant practicing in Sullivan, IL. With approximately 22 years of clinical experience since completing medical education in 2004, Mohammad Tabatabaei delivers high-quality medical care to the local community at 1220 W JACKSON ST.

Mohammad Tabatabaei is affiliated with Decatur Memorial Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1220 W Jackson St

Sullivan, IL 619511032

Telephone 2177282042

Fax 2177282485

Associated Practice Facility / Clinic

🏢 Decatur Memorial Hospital Facility NPI 1275216095

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sullivan, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Sullivan, IL (4958 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tabatabaei (22 Years) 22 Yrs

Sullivan Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	835	403	$246.74	$80.06
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	536	323	$40.32	$13.54
99213 Established patient office or other outpatient visit, typically 15 minutes	303	202	$168.25	$54.44
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$34.43	$6.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	608	351	$240.06	$81.69
99213 Established patient office or other outpatient visit, typically 15 minutes	272	207	$163.31	$54.88
93793 Anticoagulant management of patient taking warfarin	84	18	$68.00	$9.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$95.00	$30.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$356.20	$112.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$33.25	$6.85
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$175.45	$81.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	558	345	$233.12	$81.10
93793 Anticoagulant management of patient taking warfarin	328	23	$66.54	$9.31
99213 Established patient office or other outpatient visit, typically 15 minutes	308	213	$158.25	$55.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	68	$92.53	$30.35
99443 Telephone medical discussion with physician, 21-30 minutes	72	66	$171.25	$82.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	663	372	$225.90	$84.18
93793 Anticoagulant management of patient taking warfarin	386	30	$64.45	$9.58
99213 Established patient office or other outpatient visit, typically 15 minutes	312	226	$152.96	$57.19
99442 Telephone medical discussion with physician, 11-20 minutes	44	39	$113.75	$57.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	40	$89.56	$30.62
99443 Telephone medical discussion with physician, 21-30 minutes	19	19	$168.68	$85.46
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$62.00	$30.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$603.00	$141.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	507	316	$219.46	$67.54
99213 Established patient office or other outpatient visit, typically 15 minutes	309	197	$148.93	$44.22
93793 Anticoagulant management of patient taking warfarin	151	29	$63.23	$9.95
99441 Telephone medical discussion with physician, 5-10 minutes	65	57	$60.89	$22.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$326.29	$111.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$397.92	$96.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	551	259	$209.73	$66.70
99213 Established patient office or other outpatient visit, typically 15 minutes	343	180	$139.78	$43.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$572.12	$142.92
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	34	17	$130.53	$27.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$386.00	$96.41
99495 Transitional care management services for problem of at least moderate complexity	16	14	$381.00	$93.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$323.99	$110.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	461	200	$127.58	$43.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	214	$196.48	$65.98
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	17	16	$126.34	$38.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$320.71	$95.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	528	220	$104.36	$42.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	187	$155.27	$65.52
36415 Insertion of needle into vein for collection of blood sample	172	120	$17.00	$2.93
99496 Transitional care management services for problem of high complexity	17	16	$369.46	$159.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$243.94	$109.43
99495 Transitional care management services for problem of at least moderate complexity	12	12	$247.64	$109.31

Medical Specialties & State Licenses

CMS Verified: 2023-01-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-002332

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.

Hospital & Practice Group Affiliations

Decatur Memorial Hospital

1220 W Jackson St, Sullivan, IL 619511032

Phone: 2177282042

Decatur Memorial Hospital

241 W Weaver Rd, Forsyth, IL 625359766

Phone: 2178765220

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Patricia Carr , FNP

Nurse Practitioner - Family

NPI 1104822568

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location January 10, 2023

Registered at 1220 W JACKSON ST, SULLIVAN, IL 619511032 (Tel: 2177282042)

✅

NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2014

Registered at 3131 N WATER ST, DECATUR, IL 625262472 (Tel: 2178765320)

📍

Updated Business Mailing Address October 17, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178762857)

👤

Provider Name / Credentials Updated October 17, 2014

Recorded as MOHAMMAD TABATABAEI, P.A.-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Physician Assistant (License #085-002332 in IL)

🟢

Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215954813

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 17, 2006

Last Update: January 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178762857

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.