Adam D. Houghton, MD
NPI 1568783439ActiveIndividual· Family Medicine· Bloomington, IL
Family Medicine (MD) in Bloomington, Illinois, trained at Southern Illinois University School of Medicine (class of 2010). Their prescriptions cost Medicare Part D more than their services did: $434,705 for 5,226 claims, against $119,815 paid for services in 2024.
Overview
| NPI | 1568783439 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 15, 2010 |
| Last updated in NPPES | May 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036.132740 | IL |
| Family Medicine | 207Q00000X | 11015561A | IN |
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 | 269 |
|---|---|
| Services billed | 2,002 across 73 procedure codes |
| Paid by Medicare | $119,815 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,226 · 11,869 30-day fills |
|---|---|
| Patients | 404 |
| Total drug cost | $434,705 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Southern Illinois University School of Medicine |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Carle West Physician Group IncBloomington, IL · 271 clinicians
- Advanced Physical Therapy Services, Ltd.Bloomington, IL · 223 clinicians
- Bloomington Primary Care, Ltd.Bloomington, IL · 11 clinicians
Hospital affiliations
- Carle Bromenn Medical CenterNormal, IL
- Northwestern Medicine Central Dupage HospitalWinfield, IL
- St Joseph Medical CenterBloomington, IL
Other facilities
- Carle Home CareHome health agency · Champaign, 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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All 58 family medicine physicians in Bloomington · All family medicine physicians in Illinois