Theodore Rexford Addai, M.D.
NPI 1912985185ActiveIndividual· Internal Medicine, Cardiovascular Disease· Decatur, IL
Internal Medicine, Cardiovascular Disease (M.D.) with Prairie Cardiovascular Consultants Ltd and 1 other group, practicing in Decatur, Illinois. Their prescriptions cost Medicare Part D more than their services did: $1,837,305 for 8,207 claims, against $160,964 paid for services in 2024. Merck Sharp & Dohme LLC was the largest of 10 companies reporting payments in 2025, $388.94 in all, mostly food and beverage. Lists Decatur Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1912985185 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 6, 2006 |
| Last updated in NPPES | Dec 20, 2021 |
| Certified by provider | Dec 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 036078026 | IL |
| Specialist | 174400000X | 036078026 | 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 - Cardiovascular Disease (Cardiology) (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 888 |
|---|---|
| Services billed | 2,409 across 68 procedure codes |
| Paid by Medicare | $160,964 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,207 · 15,668 30-day fills |
|---|---|
| Patients | 715 |
| Total drug cost | $1,837,305 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Medical groups
- Prairie Cardiovascular Consultants LtdDecatur, IL · 90 clinicians
- St Marys Hospital Decatur of the Hospital Sisters of the Third OrderDecatur, IL · 11 clinicians
Hospital affiliations
- Decatur Memorial HospitalDecatur, IL
- Hshs Good Shepherd Hospital IncShelbyville, IL
- Sarah Bush Lincoln Health CenterMattoon, IL
- St Johns HospitalSpringfield, IL
- St Marys HospitalDecatur, IL
Industry payments (Open Payments)
- 2025$388.94 · 16 payments from 10 companies
- 2024$393.85 · 18 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $74.14 | 3 |
| Heartflow, Inc. | $50.04 | 2 |
| Bayer Healthcare Pharmaceuticals Inc. | $49.70 | 2 |
| Alnylam Pharmaceuticals Inc. | $49.55 | 2 |
| Medtronic, Inc. | $36.74 | 1 |
What the 2025 payments were for
- Food and Beverage$388.94 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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