Doctor profile · Federal record
Dr. Pradip Sethi, MD
Sleep Medicine (Psychiatry & Neurology) Physician (CMS: Neurology) · Elgin, IL
- NPI 1013009653
- Accepts Medicare
- 51 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
40 North Airlite St, Suite 2
Elgin, IL 601234965
(847) 695-0985
fax (847) 695-4373
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- December 21, 2021
- Year of graduation
- 1975 — 51 yrs since
- Specialty taxonomy
- 2084S0012X — NUCC code
- State license (1)
- Illinois #036055338
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013009653. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
765
Distinct HCPCS
9
Medicare allowed
$126,277
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 409 | 215 | $132 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 171 | 142 | $94 | |
95811 |
Sleep study in sleep lab with continuous airway pressure (6 years or older) | 41 | 39 | $668 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 35 | 35 | $221 | |
95811 |
Sleep study in sleep lab with continuous airway pressure (6 years or older) | 33 | 31 | $115 | |
95806 |
Sleep study including heart rate, breathing, airflow, and effort | 23 | 23 | $41 | |
95810 |
Sleep study in sleep lab (6 years or older) | 19 | 19 | $114 | |
95810 |
Sleep study in sleep lab (6 years or older) | 18 | 18 | $638 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $174 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 85. This provider delivers 9.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
699
Patients
125
Total drug cost
$13,546
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gabapentin | Generic | 348 | 84 | $5,235 |
| Doxepin Hcl | Generic | 74 | 30 | $1,153 |
| Primidone | Generic | 39 | 0 | $871 |
| Escitalopram Oxalate | Generic | 36 | 11 | $585 |
| Sertraline Hcl | Generic | 32 | 0 | $405 |
| Modafinil | Generic | 29 | 0 | $1,503 |
| Clonazepam | Generic | 27 | 0 | $202 |
| Pramipexole Dihydrochloride (Pramipexole Di-Hcl) | Brand | 22 | 0 | $360 |
| Carbidopa-Levodopa (Carbidopa/Levodopa) | Brand | 20 | 0 | $1,616 |
| Methylphenidate Hcl | Generic | 18 | 0 | $157 |
Hospital affiliations
Frequently asked questions
What is Dr. Pradip Sethi's medical specialty?
Dr. Pradip Sethi practices Sleep Medicine (Psychiatry & Neurology) Physician in Elgin, IL.
Where does Dr. Pradip Sethi practice?
Dr. Pradip Sethi practices at 40 North Airlite St, Elgin, IL 601234965. Office phone: 8476950985.
What is Dr. Pradip Sethi's NPI?
Dr. Pradip Sethi's National Provider Identifier (NPI) is 1013009653, issued by NPPES.
Does Dr. Pradip Sethi accept Medicare assignment?
Yes. Dr. Pradip Sethi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pradip Sethi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Sleep study in sleep lab with continuous airway pressure (6 years or older) (HCPCS 95811). Source: CMS Medicare Physician & Other Practitioners file.