Doctor profile · Federal record
Dr. Sushilkumar Tibrewala, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Herrin, IL
- NPI 1457366858
- Accepts Medicare
- MIPS 73.6 / 100 · 2023
- 49 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3301 Patriot CT
Herrin, IL 629483782
(618) 998-8885
fax (618) 998-8886 - Mailing address
-
24 Pine Lake Dr
Carbondale, IL 629015410
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- September 11, 2018
- Year of graduation
- 1977 — 49 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Illinois #036-073571
- Medicaid
- IL #036073571
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1457366858. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,172
Distinct HCPCS
10
Medicare allowed
$165,280
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 275 | 270 | $72 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 222 | 216 | $251 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 117 | 96 | $122 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 108 | 104 | $174 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $110 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 73 | 70 | $88 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 60 | 60 | $116 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $163 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 38 | 38 | $70 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 37 | 37 | $180 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 69. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$1,909
Transactions
20
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 8 | $1,293.12 | |
| ABBVIE INC. | 3 | $159.92 | |
| Endogastric Solutions, Inc | 1 | $153.57 | |
| Ipsen Biopharmaceuticals, Inc | 1 | $150.00 | |
| PFIZER INC. | 3 | $67.66 | |
| Ardelyx, Inc. | 2 | $39.44 | |
| Mauna Kea Technologies, Inc. | 1 | $27.25 | |
| Phathom Pharmaceuticals, Inc. | 1 | $18.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
974
Patients
303
Total drug cost
$45,794
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 562 | 173 | $8,593 |
| Pantoprazole Sodium | Generic | 161 | 55 | $2,662 |
| Omeprazole | Generic | 94 | 25 | $1,443 |
| Sucralfate | Generic | 42 | 19 | $778 |
| Dicyclomine Hcl | Generic | 30 | 18 | $662 |
| Mesalamine | Generic | 27 | 0 | $12,141 |
| Esomeprazole Magnesium | Generic | 20 | 0 | $816 |
| Metronidazole | Generic | 13 | 13 | $114 |
| Sulfasalazine | Generic | 13 | 0 | $581 |
| Viberzi (Eluxadoline) | Brand | 12 | 0 | $18,004 |
Hospital affiliations
Frequently asked questions
What is Dr. Sushilkumar Tibrewala's medical specialty?
Dr. Sushilkumar Tibrewala practices Gastroenterology Physician in Herrin, IL.
Where does Dr. Sushilkumar Tibrewala practice?
Dr. Sushilkumar Tibrewala practices at 3301 Patriot CT, Herrin, IL 629483782. Office phone: 6189988885.
What is Dr. Sushilkumar Tibrewala's NPI?
Dr. Sushilkumar Tibrewala's National Provider Identifier (NPI) is 1457366858, issued by NPPES.
Does Dr. Sushilkumar Tibrewala accept Medicare assignment?
Yes. Dr. Sushilkumar Tibrewala accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sushilkumar Tibrewala commonly perform?
Top Medicare-reported procedures in 2023: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.