Dr. Patrick Ray Sinclair , DO
Emergency Medicine โข Chicago, IL
151 N Michigan Ave, Apt. 2114
Chicago, IL 606017506
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Patrick Sinclair is listed in NPPES under Emergency Medicine.
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NPI assigned on April 30, 2015; this date does not establish years in practice.
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Published CMS data list 478 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99285 โ Emergency department visit with high level of medical decision making: 309 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 72 service units.
- 99291 โ Critical care: 50 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 103 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisone โ 24 prescription fills, including refills.
- Cephalexin โ 23 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Emergency Medicine in Chicago, IL (2024, 741 clinicians with data). Median for this group: 277. Middle half: 151 to 456.
More Medicare Part B services than 70% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: 321. Middle half: 179 to 524.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 532 in 2020 to 478 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
151 N Michigan Ave
Apt. 2114
Chicago, IL 606017506
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Milwaukee, WI. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Cepamerica Illinois Llp. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2015
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
421 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $77,816 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $59,684 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
103 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$363 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
11 years (graduated 2015)
CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sinclair has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sinclair as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Emergency Medicine in Chicago, IL (2024, 741 clinicians with data). Median for this group: 277. Middle half: 151 to 456.
More Medicare Part B services than 70% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: 321. Middle half: 179 to 524.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Emergency Medicine in Chicago, IL (2024, 741 clinicians with data). Median for this group: $39,046. Middle half: $19,841 to $63,843.
A higher Medicare-allowed amount than 75% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: $45,108. Middle half: $24,677 to $72,172.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Emergency Medicine in Chicago, IL (2024, 741 clinicians with data). Median for this group: $29,609. Middle half: $15,193 to $47,889.
A higher Medicare payment amount than 75% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: $34,329. Middle half: $18,565 to $55,341.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Emergency Medicine in Chicago, IL (2024, 474 clinicians with data). Median for this group: 57. Middle half: 23 to 125.
Close to the middle for clinicians listed under Emergency Medicine in Illinois (2024, 1,650 clinicians with data). Median for this group: 80. Middle half: 32 to 154.
Part D drug cost
Close to the middle for clinicians listed under Emergency Medicine in Chicago, IL (2024, 474 clinicians with data). Median for this group: $343. Middle half: $116 to $812.
Close to the middle for clinicians listed under Emergency Medicine in Illinois (2024, 1,650 clinicians with data). Median for this group: $440. Middle half: $171 to $1,010.
1,311 active clinicians are listed under Emergency Medicine with a practice address in Chicago, IL (3,297 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
1.8% of these 1,311 clinicians have the CMS telehealth indicator.
52.1% of these 1,311 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 10% from 532 in 2020 to 478 in 2024.
- 2020: 532
- 2021: 820
- 2022: 727
- 2023: 569
- 2024: 478
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $83,852 in 2020 and $77,816 in 2024.
- 2020: $83,852
- 2021: $114,787
- 2022: $95,145
- 2023: $86,145
- 2024: $77,816
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Paid by Medicare
Paid by Medicare decreased 19% from $74,059 in 2020 to $59,684 in 2024.
- 2020: $74,059
- 2021: $99,922
- 2022: $84,568
- 2023: $68,368
- 2024: $59,684
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2020 to 103 in 2024.
- 2020: 12
- 2021: 91
- 2022: 109
- 2023: 105
- 2024: 103
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30-day fills
30-day fills went from 12 in 2020 to 103 in 2024.
- 2020: 12
- 2021: 91
- 2022: 109
- 2023: 105
- 2024: 103
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Part D drug cost
Part D drug cost went from $31 in 2020 to $363 in 2024.
- 2020: $31
- 2021: $524
- 2022: $504
- 2023: $718
- 2024: $363
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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309 | 297 | $1315.06 | $173.85 |
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99284
Emergency department visit with moderate level of medical decision making
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72 | 72 | $952.17 | $121.16 |
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99291
Critical care, first 30-74 minutes
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50 | 48 | $1643.62 | $208.59 |
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99292
Critical care, each additional 30 minutes
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47 | 21 | $814.02 | $105.18 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 24 | 149 | $40.91 | 24 |
| Cephalexin | Cephalexin | 23 | 122 | $89.57 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 15 | 59 | $72.23 | 15 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 14 | 149 | $43.44 | 14 |
| Ondansetron Hcl | Ondansetron Hcl | 14 | 64 | $39.13 | 14 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 13 | 119 | $77.79 | 13 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-02-23NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
NUCC Taxonomy Code: 207PE0004X
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - EMERGENCY MEDICINE
I20200428001455
IL
8426346974
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Cepamerica Illinois Llp
5666 E State St, Rockford, IL 611082425
Phone: 8152262000
Secondary Practice Locations
9200 W Wisconsin Ave
Milwaukee, WI 532263522
Phone: 4148056450
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Clinical Nurse Specialist
CNSAPN
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 151 N MICHIGAN AVE, APT. 2114, CHICAGO, IL 606017506 (Tel: 7349686076)
Registered at 4N408 MARK TWAIN ST, SAINT CHARLES, IL 601756522
Emergency Medicine (license number reported to NPPES: WI 70721-21)
Registered at 600 HIGHLAND AVE, MADISON, WI 537923522 (Tel: 6082622398)
Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531
Emergency Medicine (license number reported to NPPES: WI 70721-21)
Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148056450)
Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148056450)
Registered at 8701 W WATERTOWN PLANK RD, WAUWATOSA, WI 532263548 (Tel: 4148059923)
Registered at 145 N JACKSON ST UNIT 310, MILWAUKEE, WI 532026127 (Tel: 7349686076)
Emergency Medicine (license number reported to NPPES: WI 70721-21)
NPI status registered as active in NPPES database
Registered at 151 N MICHIGAN AVE, APT. 2114, CHICAGO, IL 606017506 (Tel: 7349686076)
Registered at 151 N MICHIGAN AVE, APT. 2114, CHICAGO, IL 606017506 (Tel: 7349686076)
Recorded as PATRICK SINCLAIR, D.O.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Emergency Medicine Providers in Chicago
- Dr. Abdullah Pratt, MD
- Dr. Radha Shah, DO
- Esther Adeyemi
- Dr. Lauren Friend, MD
- Dr. Jennifer Liu, MD
- Dr. Nipa Patel, MD
Mailing Address
4n408 Mark Twain St
Saint Charles, IL 601756522