Doctor profile · Federal record
Dr. Aditya Birbal-Jain, MD
Family Medicine Physician (CMS: Family Practice) · Danville, IL
- NPI 1255628723
- Accepts Medicare
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
311 W. Fairchild St.
Danville, IL 61832
(217) 431-7600
fax (217) 431-7850 - Mailing address
-
611 W. Park St., Bwpc
Urbana, IL 618012500
Credentials & registration
- NPI registered
- July 2011 — 15 yrs on file
- Profile last updated
- December 4, 2014
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Illinois #036133835
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255628723. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
425
Distinct HCPCS
5
Medicare allowed
$42,176
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 285 | 144 | $96 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 58 | 58 | $126 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 55 | 51 | $66 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 16 | 14 | $134 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 11 | 11 | $162 |
In context: peer comparison
Among 4 peers in Danville Family Medicine Physician, average services per provider: 87. This provider delivers 4.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,731
Patients
923
Total drug cost
$51,664
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 372 | 120 | $7,169 |
| Lisinopril | Generic | 295 | 100 | $4,255 |
| Omeprazole | Generic | 265 | 83 | $5,376 |
| Gabapentin | Generic | 256 | 92 | $4,693 |
| Hydrochlorothiazide | Generic | 247 | 81 | $1,560 |
| Amlodipine Besylate | Generic | 239 | 82 | $2,690 |
| Losartan Potassium | Generic | 171 | 57 | $3,966 |
| Levothyroxine Sodium | Generic | 143 | 43 | $3,253 |
| Metoprolol Succinate | Generic | 131 | 40 | $3,587 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 112 | 49 | $5,886 |
Frequently asked questions
What is Dr. Aditya Birbal-Jain's medical specialty?
Dr. Aditya Birbal-Jain practices Family Medicine Physician in Danville, IL.
Where does Dr. Aditya Birbal-Jain practice?
Dr. Aditya Birbal-Jain practices at 311 W. Fairchild St., Danville, IL 61832. Office phone: 2174317600.
What is Dr. Aditya Birbal-Jain's NPI?
Dr. Aditya Birbal-Jain's National Provider Identifier (NPI) is 1255628723, issued by NPPES.
Does Dr. Aditya Birbal-Jain accept Medicare assignment?
Yes. Dr. Aditya Birbal-Jain accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Aditya Birbal-Jain commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.