Roberto Pabalate, MD
NPI 1528221504ActiveIndividual· Family Medicine· Forsyth, IL
Family Medicine (MD) with Decatur Memorial Hospital, practicing in Forsyth, Illinois. Their prescriptions cost Medicare Part D more than their services did: $2,142,044 for 11,941 claims, against $97,624 paid for services in 2024. Abbott Laboratories reported $17.82 in payments in 2025, mostly food and beverage. Lists Decatur Memorial Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1528221504 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 9, 2008 |
| Last updated in NPPES | Apr 4, 2023 |
| Certified by provider | Apr 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036127240 | 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 | 439 |
|---|---|
| Services billed | 1,714 across 28 procedure codes |
| Paid by Medicare | $97,624 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11,941 · 28,114 30-day fills |
|---|---|
| Patients | 656 |
| Total drug cost | $2,142,044 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Decatur Memorial HospitalDecatur, IL · 174 clinicians
Hospital affiliations
- Decatur Memorial HospitalDecatur, IL
- St Marys HospitalDecatur, IL
Other facilities
- Elara Caring VHome health agency · Springfield, IL
- Enhabit Home HealthHome health agency · Springfield, IL
- Hospice Care of IllinoisHospice · Springfield, IL
Industry payments (Open Payments)
- 2025$17.82 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $17.82 | 1 |
What the 2025 payments were for
- Food and Beverage$17.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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