Doctor profile · Federal record
Dr. Nistha Rawal, DO
Gastroenterology Physician (CMS: Gastroenterology) · Lake Barrington, IL
- NPI 1801323159
- Accepts Medicare
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
22285 N Pepper RD Ste 311
Lake Barrington, IL 600102541
(847) 382-4410 - Mailing address
-
350 N Wall St
Kankakee, IL 609012901
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- August 9, 2023
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Illinois #036.165378
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1801323159. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
294
Distinct HCPCS
8
Medicare allowed
$34,150
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 103 | 77 | $78 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 53 | 53 | $126 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 31 | 31 | $128 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $128 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 | 26 | $95 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 22 | 22 | $249 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $89 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $167 |
In context: peer comparison
Among 6 peers in Lake Barrington Gastroenterology Physician, average services per provider: 72. This provider delivers 4.1× the peer median.Open Payments
Industry payments received
All-time total
$899
Transactions
37
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 9 | $175.53 | |
| Regeneron Healthcare Solutions, INC. | 4 | $119.75 | |
| Takeda Pharmaceuticals U.S.A., INC. | 4 | $98.04 | |
| Janssen Biotech, INC. | 3 | $86.54 | |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | 3 | $65.75 | |
| Intercept Pharmaceuticals, INC. | 2 | $57.16 | |
| Merck Sharp & Dohme LLC | 2 | $43.69 | |
| Lilly USA, LLC | 2 | $37.16 | |
| Qol Medical, LLC | 1 | $33.53 | |
| Phathom Pharmaceuticals, INC. | 2 | $31.52 | |
| Ferring Pharmaceuticals INC. | 1 | $26.78 | |
| Ardelyx, INC. | 1 | $25.34 | |
| Aimmune Therapeutics, INC. | 1 | $23.59 | |
| Sandoz INC. | 1 | $16.21 | |
| Gilead Sciences, INC. | 1 | $15.52 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
77
Patients
69
Total drug cost
$1,327
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 34 | 31 | $572 |
| Pantoprazole Sodium | Generic | 16 | 11 | $260 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 15 | 15 | $253 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 12 | 12 | $243 |
Hospital affiliations
Frequently asked questions
What is Dr. Nistha Rawal's medical specialty?
Dr. Nistha Rawal practices Gastroenterology Physician in Lake Barrington, IL.
Where does Dr. Nistha Rawal practice?
Dr. Nistha Rawal practices at 22285 N Pepper RD Ste 311, Lake Barrington, IL 600102541. Office phone: 8473824410.
What is Dr. Nistha Rawal's NPI?
Dr. Nistha Rawal's National Provider Identifier (NPI) is 1801323159, issued by NPPES.
Does Dr. Nistha Rawal accept Medicare assignment?
Yes. Dr. Nistha Rawal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nistha Rawal commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.