Dr. Timothy Mark Biagini , MD
Specialist • Macomb, IL
515 E Grant St Ste 211
Macomb, IL 614553378
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 August 11, 2008; this date does not establish years in practice.
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Published CMS data list 831 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 45385 — Removal of polyps or growths of large bowel using an endoscope with mechanical snare: 305 service units.
- 43239 — Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope: 221 service units.
- 43248 — Insertion of guide wire with dilation of esophagus using a flexible endoscope: 86 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,197 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Omeprazole — 534 prescription fills, including refills.
- Pantoprazole Sodium — 222 prescription fills, including refills.
- Famotidine — 58 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 21 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Specialist in Illinois (2024, 124 clinicians with data). Median for this group: 845. Middle half: 325 to 2,816.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 992 in 2020 to 831 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
515 E Grant St Ste 211
Macomb, IL 614553378
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Mcdonough County Hospital District. 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
University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)
2007
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
543 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 – by Provider, 2024.
Medicare-allowed amount
About $129,062 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 – by Provider and Service, 2024.
Paid by Medicare
About $107,996 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 – by Provider and Service, 2024.
30-day fills
1,890 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
$309,202 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,189.27 across 73 records.
By nature of payment
- Food and Beverage: $1,189.27 across 73 records.
Reporting-company totals (3 largest of 8)
- ABBVIE INC.: $351.81 across 25 records.
- Takeda Pharmaceuticals U.S.A., Inc.: $326.02 across 20 records.
- Janssen Pharmaceuticals, Inc: $238.44 across 16 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 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
2008
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, “Does your provider accept Medicare as full payment?”
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. Biagini 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. Biagini 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 Macomb and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Specialist in Illinois (2024, 124 clinicians with data). Median for this group: 845. Middle half: 325 to 2,816.
Too few clinicians listed under Specialist in Macomb have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Specialist in Illinois (2024, 124 clinicians with data). Median for this group: $82,929. Middle half: $28,554 to $241,062.
Too few clinicians listed under Specialist in Macomb have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Specialist in Illinois (2024, 124 clinicians with data). Median for this group: $60,992. Middle half: $20,643 to $182,426.
Too few clinicians listed under Specialist in Macomb have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Specialist in Illinois (2024, 127 clinicians with data). Median for this group: 468. Middle half: 69 to 1,831.
Too few clinicians listed under Specialist in Macomb have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Specialist in Illinois (2024, 127 clinicians with data). Median for this group: $22,661. Middle half: $2,200 to $193,901.
Too few clinicians listed under Specialist in Macomb have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Specialist with a practice address in Macomb, IL (1,157 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
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 16% from 992 in 2020 to 831 in 2024.
- 2020: 992
- 2021: 1,043
- 2022: 909
- 2023: 841
- 2024: 831
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $139,287 in 2020 and $129,062 in 2024.
- 2020: $139,287
- 2021: $162,191
- 2022: $142,326
- 2023: $131,941
- 2024: $129,062
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Paid by Medicare
Paid by Medicare stayed about the same: $103,602 in 2020 and $107,996 in 2024.
- 2020: $103,602
- 2021: $121,974
- 2022: $112,960
- 2023: $108,747
- 2024: $107,996
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 19% from 1,480 in 2020 to 1,197 in 2024.
- 2020: 1,480
- 2021: 1,564
- 2022: 1,244
- 2023: 1,103
- 2024: 1,197
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30-day fills
30-day fills decreased 10% from 2,103 in 2020 to 1,890 in 2024.
- 2020: 2,103
- 2021: 2,224
- 2022: 1,875
- 2023: 1,673
- 2024: 1,890
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Part D drug cost
Part D drug cost decreased 37% from $493,533 in 2020 to $309,202 in 2024.
- 2020: $493,533
- 2021: $564,961
- 2022: $538,885
- 2023: $442,673
- 2024: $309,202
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $260.99 in 2021 to $1,189.27 in 2025.
- 2021: $260.99
- 2022: $186.48
- 2023: $446.65
- 2024: $689.47
- 2025: $1,189.27
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 73 records totaling $1,189.27.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Aimmune Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
ZENPEP | General | $52.98 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $40.24 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
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ENTYVIO | General | $33.90 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $33.67 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
RINVOQ | General | $31.70 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $31.45 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $28.73 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $28.06 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
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ENTYVIO | General | $28.05 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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SKYRIZI | General | $27.63 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $27.58 |
| Olympus America Inc. |
Food and Beverage
In-kind items and services
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Single Use Repositionable Clip | General | $26.83 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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RINVOQ | General | $26.47 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
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ENTYVIO | General | $25.93 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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TREMFYA | General | $25.47 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
|
— | General | $24.88 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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IQIRVO | General | $24.38 |
| Gilead Sciences, Inc. |
Food and Beverage
In-kind items and services
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— | General | $24.09 |
| Aimmune Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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ZENPEP | General | $23.68 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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RINVOQ | General | $22.80 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
SKYRIZI | General | $21.59 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
|
ENTYVIO | General | $20.81 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $20.72 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
TREMFYA | General | $20.35 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
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ENTYVIO | General | $19.81 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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45385
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
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305 | 303 | $2207.47 | $249.84 |
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43239
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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221 | 218 | $1710.15 | $64.23 |
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43248
Insertion of guide wire with dilation of esophagus using a flexible endoscope
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86 | 82 | $1805.60 | $124.27 |
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45380
Biopsy of large bowel using a flexible endoscope
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83 | 83 | $1935.94 | $92.19 |
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G0105
Colorectal cancer screening; colonoscopy on individual at high risk
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48 | 48 | $1597.00 | $172.24 |
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45378
Diagnostic exam of large bowel using a flexible endoscope
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24 | 22 | $1613.00 | $169.29 |
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43235
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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18 | 18 | $1365.00 | $100.90 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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18 | 18 | $624.00 | $129.60 |
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43249
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm
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16 | 12 | $2441.94 | $114.90 |
|
G0121
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
|
12 | 12 | $1597.00 | $167.39 |
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 |
|---|---|---|---|---|---|
| Omeprazole | Omeprazole | 534 | 27,022 | $4,099.80 | 151 |
| Pantoprazole Sodium | Pantoprazole Sodium | 222 | 11,099 | $1,908.06 | 55 |
| Famotidine | Famotidine | 58 | 1,847 | $334.24 | 13 |
| Mesalamine | Mesalamine | 45 | 2,130 | $36,607.08 | — |
| Ursodiol | Ursodiol | 32 | 1,326 | $9,763.67 | — |
| Diphenoxylate-Atropine | Diphenoxylate Hcl/Atropine | 27 | 380 | $841.55 | — |
| Azathioprine | Azathioprine | 26 | 1,710 | $1,271.68 | — |
| Balsalazide Disodium | Balsalazide Disodium | 25 | 1,350 | $2,189.68 | — |
| Lansoprazole | Lansoprazole | 23 | 1,350 | $2,239.33 | — |
| Ocaliva | Obeticholic Acid | 23 | 690 | $223,030.45 | — |
| Linzess | Linaclotide | 22 | 900 | $16,266.23 | — |
| Dicyclomine Hcl | Dicyclomine Hcl | 20 | 322 | $125.67 | — |
| Budesonide Dr | Budesonide | 20 | 755 | $1,333.11 | — |
| Mesalamine Er | Mesalamine | 19 | 810 | $3,553.64 | — |
| Methotrexate | Methotrexate Sodium | 17 | 480 | $298.57 | — |
| Esomeprazole Magnesium | Esomeprazole Magnesium | 17 | 750 | $693.17 | — |
| Budesonide Ec | Budesonide | 16 | 900 | $3,932.21 | — |
| Ondansetron Hcl | Ondansetron Hcl | 15 | 115 | $28.35 | — |
| Sucralfate | Sucralfate | 14 | 519 | $367.01 | — |
| Nystatin | Nystatin | 11 | 111 | $172.41 | — |
| Amitriptyline Hcl | Amitriptyline Hcl | 11 | 577 | $146.01 | — |
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: 2025-06-03NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GASTROENTEROLOGY
I20130426000444
IL
1951547512
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
Mcdonough County Hospital District
503 E Grant St, Macomb, IL 614553313
Phone: 3098335917
Mcdonough County Hospital District
525 E Grant St, Macomb, IL 614553313
Mcdonough County Hospital District
515 E Grant St, Macomb, IL 614553315
Mcdonough County Hospital District
515 E Grant St, Macomb, IL 614553378
Mcdonough County Hospital District
1454 N County Rd 2050, Carthage, IL 623213551
Phone: 2173578500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 515 E GRANT ST STE 211, MACOMB, IL 614553378 (Tel: 3098363387)
Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 3098363387)
Internal Medicine (license number reported to NPPES: IL 72215)
NPI status registered as active in NPPES database
Registered at 5 DOCTORS LN, MACOMB, IL 614553369 (Tel: 3098363387)
Registered at 5 DOCTORS LN, MACOMB, IL 614553369 (Tel: 3098363387)
Recorded as TIMOTHY BIAGINI, M.D.
Specialist (license number reported to NPPES: IL 036131897)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1025 S 6th St
Springfield, IL 627032403
Phone: 3098363387