James F. Hensold, M.D.
NPI 1013011394ActiveIndividual· Family Medicine· Washington, IL
Family Medicine (M.D.) in Washington, Illinois, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 1983). Their prescriptions cost Medicare Part D more than their services did: $709,788 for 7,342 claims, against $89,028 paid for services in 2024. Boston Scientific Corporation was the largest of 2 companies reporting payments in 2025, $39.03 in all, mostly food and beverage.
Overview
| NPI | 1013011394 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 8, 2006 |
| Last updated in NPPES | Oct 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036-072369 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 314 |
|---|---|
| Services billed | 1,735 across 33 procedure codes |
| Paid by Medicare | $89,028 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,342 · 16,310 30-day fills |
|---|---|
| Patients | 552 |
| Total drug cost | $709,788 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Family Practice |
Medical groups
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
- Methodist Medical Center of IllinoisPeoria, IL · 382 clinicians
- Proctor Health SystemsWashington, IL · 105 clinicians
Hospital affiliations
- Carle Eureka HospitalEureka, IL
- Carle Health Methodist HospitalPeoria, IL
- Carle Health Proctor HospitalPeoria, IL
- Saint Francis Medical CenterPeoria, IL
Other facilities
- Carle Home CareHome health agency · Champaign, IL
Industry payments (Open Payments)
- 2025$39.03 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $20.87 | 1 |
| Abbott Laboratories | $18.16 | 1 |
What the 2025 payments were for
- Food and Beverage$39.03 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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