Dimitrios T. Mougolias, M.D.
NPI 1053520700ActiveIndividual· Emergency Medicine· Libertyville, IL
Emergency Medicine (M.D.) with Emergency Medicine Services of Tn, PC and 1 other group, practicing in Libertyville, Illinois. 528 Medicare patients in 2024, $68,483 paid; nearly all of their 265 Part D prescriptions were generic (95%). Lists Tristar Hendersonville Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1053520700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 21, 2007 |
| Last updated in NPPES | Feb 12, 2024 |
| Certified by provider | Feb 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 036118251 | IL |
| Emergency Medicine | 207P00000X | 53098-20 | WI |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | 036118251 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (IL); Practitioner - Emergency Medicine (KY); Practitioner - Emergency Medicine (TN); Practitioner - Emergency Medicine (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 528 |
|---|---|
| Services billed | 720 across 19 procedure codes |
| Paid by Medicare | $68,483 |
Part D prescriptions in 2024
| Prescriptions (claims) | 265 · 267 30-day fills |
|---|---|
| Patients | 191 |
| Total drug cost | $2,941 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical groups
- Emergency Medicine Services of Tn, PCMt Juliet, TN · 153 clinicians
- Riverside Emergency Physicians LLCKankakee, IL · 39 clinicians
Hospital affiliations
- Tristar Hendersonville Medical CenterHendersonville, TN
- Tristar Stonecrest Medical CenterSmyrna, TN
- Uchicago Medicine Adventhealth GlenoaksGlendale Heights, IL
- Uchicago Medicine Adventhealth la GrangeLa Grange, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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