Doctor profile · Federal record
Dr. Theodore Addai, M.D.
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Specialist · Decatur, IL
- NPI 1912985185
- Accepts Medicare
- MIPS 92.6 / 100 · 2023
- 41 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1770 E Lake Shore Dr Ste 105
Decatur, IL 625213800
(217) 422-6100
fax (833) 784-5326 - Additional location
-
2965 N Main St Ste E
Decatur, IL 625264392
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- December 20, 2021
- Year of graduation
- 1985 — 41 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- Illinois #036078026
- Medicaid
- IL #036078026
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912985185. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,724
Distinct HCPCS
10
Medicare allowed
$264,744
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 409 | 298 | $174 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 346 | 325 | $67 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 308 | 263 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 272 | 261 | $124 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 160 | 86 | $79 | |
93296 |
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 131 | 55 | $21 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 95 | 36 | $118 | |
75574 |
Ct scan of blood vessels and grafts of heart with contrast | 92 | 92 | $113 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 90 | 87 | $130 | |
93294 |
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 79 | 40 | $30 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 165. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$394
Transactions
18
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 4 | $106.78 | |
| Lexicon Pharmaceuticals, Inc. | 5 | $105.51 | |
| PFIZER INC. | 3 | $59.98 | |
| E.R. Squibb & Sons, L.L.C. | 2 | $33.60 | |
| LANTHEUS MEDICAL IMAGING, INC. | 1 | $27.60 | |
| Kiniksa Pharmaceuticals International, plc | 1 | $25.83 | |
| AstraZeneca Pharmaceuticals LP | 1 | $19.43 | |
| SCPHARMACEUTICALS INC. | 1 | $15.12 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
5,482
Patients
1,279
Total drug cost
$1,204,337
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 788 | 209 | $11,461 |
| Carvedilol | Generic | 630 | 151 | $6,007 |
| Entresto (Sacubitril/Valsartan) | Brand | 546 | 96 | $451,475 |
| Warfarin Sodium | Generic | 468 | 46 | $2,810 |
| Metoprolol Succinate | Generic | 448 | 123 | $7,093 |
| Eliquis (Apixaban) | Brand | 440 | 74 | $319,008 |
| Jardiance (Empagliflozin) | Brand | 328 | 70 | $237,575 |
| Furosemide | Generic | 310 | 81 | $1,620 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 237 | 65 | $2,873 |
| Losartan Potassium | Generic | 230 | 76 | $3,094 |
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Addai's medical specialty?
Dr. Theodore Addai practices Cardiovascular Disease Physician in Decatur, IL.
Where does Dr. Theodore Addai practice?
Dr. Theodore Addai practices at 1770 E Lake Shore Dr Ste 105, Decatur, IL 625213800. Office phone: 2174226100.
What is Dr. Theodore Addai's NPI?
Dr. Theodore Addai's National Provider Identifier (NPI) is 1912985185, issued by NPPES.
Does Dr. Theodore Addai accept Medicare assignment?
Yes. Dr. Theodore Addai accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Addai commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS 93306); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.