Jasmine Pramoj Acfalle
NPI 1699528174ActiveIndividual· Family Medicine· Peoria, IL
Family Medicine in Peoria, Illinois, licensed in IL, with an NPI issued in April 2024. Part D covered 40 prescriptions written in 2024, 78% of them generic.
Overview
| NPI | 1699528174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 8, 2024 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 125.084698 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0000000000000 | — |
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 Order and Referring Only - Family Practice (IL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 40 · 86 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $10,627 |
| Generic share | 78% of claims |
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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