Doctor profile · Federal record
Dr. Sanjay Pethkar, M.D.
Internal Medicine Physician (CMS: Internal Medicine) · Plainfield, IL
- NPI 1134181829
- Accepts Medicare
- 36 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
13415 S Route 59
Plainfield, IL 605855676
(815) 609-3627
fax (815) 609-1328 - Mailing address
-
Po Box 9200
Naperville, IL 605670200
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- November 15, 2011
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Illinois #036091255
- Medicaid
- IL #036091255
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134181829. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,248
Distinct HCPCS
10
Medicare allowed
$184,224
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,016 | 102 | $65 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 359 | 125 | $132 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 100 | 58 | $93 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 84 | 84 | $132 | |
G0444 |
Annual depression screening, 5 to 15 minutes | 83 | 83 | $19 | |
82947 |
Blood glucose (sugar) level | 82 | 38 | $4 | |
99497 |
Advance care planning, first 30 minutes | 80 | 75 | $85 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 71 | 45 | $186 | |
G0008 |
Administration of influenza virus vaccine | 64 | 64 | $32 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 57 | 13 | $123 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 424. This provider delivers 5.3× the peer median.Open Payments
Industry payments received
All-time total
$45
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 1 | $23.18 | |
| Lilly USA, LLC | 1 | $21.38 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,549
Patients
527
Total drug cost
$25,030
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 198 | 62 | $3,590 |
| Atorvastatin Calcium | Generic | 157 | 53 | $2,520 |
| Metformin Hcl | Generic | 154 | 46 | $1,641 |
| Amlodipine Besylate | Generic | 133 | 45 | $1,526 |
| Metoprolol Succinate | Generic | 126 | 37 | $2,689 |
| Glimepiride | Generic | 117 | 34 | $1,986 |
| Fluticasone Propionate | Generic | 104 | 47 | $1,651 |
| Rosuvastatin Calcium | Generic | 95 | 31 | $1,581 |
| Lisinopril | Generic | 81 | 26 | $689 |
| Losartan Potassium | Generic | 74 | 26 | $1,141 |
Hospital affiliations
Frequently asked questions
What is Dr. Sanjay Pethkar's medical specialty?
Dr. Sanjay Pethkar practices Internal Medicine Physician in Plainfield, IL.
Where does Dr. Sanjay Pethkar practice?
Dr. Sanjay Pethkar practices at 13415 S Route 59, Plainfield, IL 605855676. Office phone: 8156093627.
What is Dr. Sanjay Pethkar's NPI?
Dr. Sanjay Pethkar's National Provider Identifier (NPI) is 1134181829, issued by NPPES.
Does Dr. Sanjay Pethkar accept Medicare assignment?
Yes. Dr. Sanjay Pethkar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sanjay Pethkar commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services (HCPCS 99490); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.