Dr. Roy Eapen , MD
General Practice โข Chicago, IL
2003 W Fulton St Ste 303
Chicago, IL 606122345
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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NPI assigned on November 11, 2022; this date does not establish years in practice.
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Published CMS data list 410 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99349 โ Residence visit for established patient with moderate level of medical decision making, per day: 277 service units.
- 99497 โ Advance care planning: 31 service units.
- 99344 โ Residence visit for new patient with moderate level of medical decision making, per day: 26 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 175 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:
- Atorvastatin Calcium โ 28 prescription fills, including refills.
- Eliquis (Apixaban) โ 21 prescription fills, including refills.
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 17 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 11 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Chicago, IL (2024, 21 clinicians with data). Median for this group: 411. Middle half: 44 to 1,074.
Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Illinois (2024, 57 clinicians with data). Median for this group: 441. Middle half: 57 to 2,096.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 43 in 2022 to 410 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2023.
Practice Location & Contact Primary Location
2003 W Fulton St Ste 303
Chicago, IL 606122345
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $51,158 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $33,440 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
345 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
$15,545 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.
NPI first issued
2022
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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. Eapen 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. Eapen 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 D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Chicago, IL (2024, 21 clinicians with data). Median for this group: 411. Middle half: 44 to 1,074.
Fewer Part D prescriptions than 60% of clinicians listed under General Practice in Illinois (2024, 57 clinicians with data). Median for this group: 441. Middle half: 57 to 2,096.
Part D drug cost
Close to the middle for clinicians listed under General Practice in Chicago, IL (2024, 21 clinicians with data). Median for this group: $15,854. Middle half: $397 to $31,133.
Close to the middle for clinicians listed under General Practice in Illinois (2024, 57 clinicians with data). Median for this group: $25,642. Middle half: $1,202 to $115,857.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Eapen are from 2023.
98 active clinicians are listed under General Practice with a practice address in Chicago, IL (291 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
3.1% of these 98 clinicians have the CMS telehealth indicator.
12.2% of these 98 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 increased 853% from 43 in 2022 to 410 in 2023.
- 2022: 43
- 2023: 410
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Medicare-allowed amount
Medicare-allowed amount increased 795% from $5,713 in 2022 to $51,158 in 2023.
- 2022: $5,713
- 2023: $51,158
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Paid by Medicare
Paid by Medicare increased 635% from $4,552 in 2022 to $33,440 in 2023.
- 2022: $4,552
- 2023: $33,440
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 86% from 1,233 in 2023 to 175 in 2024.
- 2023: 1,233
- 2024: 175
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30-day fills
30-day fills decreased 87% from 2,636 in 2023 to 345 in 2024.
- 2023: 2,636
- 2024: 345
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Part D drug cost
Part D drug cost decreased 87% from $119,454 in 2023 to $15,545 in 2024.
- 2023: $119,454
- 2024: $15,545
Sources: CMS Medicare Physician & Other Practitioners (2023), 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 2021โ2022 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, 2022โ2023; 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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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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277 | 135 | $261.94 | $133.59 |
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99497
Advance care planning, first 30 minutes
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31 | 31 | $169.56 | $86.43 |
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99344
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes
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26 | 26 | $376.50 | $150.27 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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22 | 22 | $300.00 | $133.84 |
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G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
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21 | 20 | $113.60 | $54.15 |
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G0179
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
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17 | 16 | $86.76 | $43.34 |
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G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
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16 | 16 | $300.00 | $171.82 |
Source: CMS Part B by Provider and Service, 2023; 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 |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 28 | 1,921 | $162.10 | 20 |
| Eliquis | Apixaban | 21 | 764 | $13,730.64 | โ |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 17 | 704 | $626.32 | โ |
| Gabapentin | Gabapentin | 15 | 647 | $278.43 | โ |
| Metformin Hcl | Metformin Hcl | 15 | 810 | $43.88 | โ |
| Furosemide | Furosemide | 14 | 770 | $37.52 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 14 | 1,080 | $234.89 | โ |
| Potassium Chloride | Potassium Chloride | 14 | 840 | $149.68 | โ |
| Lisinopril | Lisinopril | 13 | 810 | $116.48 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 13 | 990 | $113.16 | โ |
| Simvastatin | Simvastatin | 11 | 900 | $52.08 | โ |
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: 2022-11-11NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - FAMILY PRACTICE
I20230922002092
AR
4486024320
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Physician Assistant
PHYSICIANASSISTANT
Surgery
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner
Career & Practice History
NPI enumerated November 11, 2022.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2022 to August 2026.
NPI Administrative Meta
Other General Practices in Chicago
- Dr. Rolando Sajor, MD
- Dr. Brett Johnson, MD
- Dr. John Wu, MD
- Dr. Ethan Meisel, MD
- Dr. Renee Hartz, MD
- Dr. Syed Saaduddin, MD
Mailing Address
2003 W Fulton St Ste 303
Chicago, IL 606122345
Phone: 3122432223