Terry Balagna, M.D.
NPI 1114022183ActiveIndividual· Emergency Medicine· Decatur, IL
Emergency Medicine (M.D.) with Midwest Emergency Department Specialists Ltd, practicing in Decatur, Illinois. 383 Medicare patients in 2024, $50,845 paid; nearly all of their 203 Part D prescriptions were generic (93%). Lists Decatur Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1114022183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 383 |
|---|---|
| Services billed | 430 across 15 procedure codes |
| Paid by Medicare | $50,845 |
Part D prescriptions in 2024
| Prescriptions (claims) | 203 · 205 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $9,910 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Midwest Emergency Department Specialists LtdSpringfield, IL · 64 clinicians
Hospital affiliation
- Decatur Memorial HospitalDecatur, 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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