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Jericho Hallare

NPI 1992407993ActiveIndividual· Surgery· Maywood, IL

Surgery in Maywood, Illinois, licensed in IL, with an NPI issued in March 2023. Part D covered 32 prescriptions written in 2024, 78% of them generic. Davol Inc. was the largest of 4 companies reporting payments in 2025, $302.14 in all, mostly food and beverage.

Overview

NPI1992407993
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 21, 2023
Last updated in NPPESMay 1, 2023
Certified by providerMay 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X125081474IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)32 · 44 30-day fills
Patients20
Total drug cost$1,609
Generic share78% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$302.14 · 5 payments from 4 companies
  • 2024$316.33 · 5 payments from 4 companies

Top paying companies in 2025

CompanyAmountPayments
Davol Inc.$185.622
Ethicon US, LLC$60.351
Atricure, Inc.$28.621
Lemaitre Vascular, Inc.$27.551

What the 2025 payments were for

  • Food and Beverage$302.14 · 5 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Surgery providers in Maywood

All Surgery providers in Illinois →