Mark Montefolka, MD
NPI 1114026754ActiveIndividual· Family Medicine· Peoria Heights, IL
Family Medicine (MD) with Carle Health Care Incorporated and 2 other groups, practicing in Peoria Heights, Illinois. Their prescriptions cost Medicare Part D more than their services did: $351,137 for 4,501 claims, against $42,433 paid for services in 2024. Abbott Laboratories reported $16.79 in payments in 2024, mostly food and beverage. Lists Carle Health Methodist Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1114026754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036110139 | 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 - Family Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 353 |
|---|---|
| Services billed | 816 across 37 procedure codes |
| Paid by Medicare | $42,433 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,501 · 10,070 30-day fills |
|---|---|
| Patients | 448 |
| Total drug cost | $351,137 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| 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 Health Methodist HospitalPeoria, IL
- Carle Health Pekin HospitalPekin, IL
- Carle Health Proctor HospitalPeoria, IL
- Saint Francis Medical CenterPeoria, IL
Industry payments (Open Payments)
- 2024$16.79 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $16.79 | 1 |
What the 2024 payments were for
- Food and Beverage$16.79 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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