Doctor Profile
Theodore R. Addai
Decatur, IL 62521
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💳 Check Plan Coverage 📞 Call Office 🗺️ Get Directions 🏛️ Verify on Medicare.govReviewed by: Wes Ward, Founder & Data Lead • View our methodology
Important: We are not affiliated with Medicare, CMS, or Theodore R. Addai's practice. This page displays publicly available CMS data to help you research Medicare providers. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE.
Medicare Plans That Cover Dr. Addai
See which plans Dr. Addai accepts
We're pulling plan acceptance data directly from insurance carrier provider directories. Until that feed is live for Illinois, the fastest way to find a Medicare plan that covers Dr. Addai is to compare every Medicare Advantage and Part D plan available near 62521, IL — the Cardiovascular Disease (Cardiology)'s office can quickly confirm which of the top local plans they accept.
Compare Medicare Plans near 62521, IL →Or call the office at (217) 464-2966 to confirm acceptance directly.
What Dr. Addai Does
Dr. Addai served 2,213 Medicare patients across 2,724 services in the latest CMS reporting year. That's similar to the average Cardiovascular Disease (Cardiology) in Illinois (2,241 patients across 630 doctors).
| Procedure | Services | Medicare Patients |
|---|---|---|
| Established patient office or other outpatient visit, 40-54 minutes (99215) | 409 | 298 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (93306) | 346 | 325 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010) | 308 | 263 |
| Established patient office or other outpatient visit, 30-39 minutes (99214) | 272 | 261 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232) | 160 | 86 |
How to read this: "Services" are the total times Dr. Addai billed Medicare for each procedure in the latest reporting year. "Patients" counts unique Medicare beneficiaries. Procedures are shown in plain English; the underlying HCPCS codes are available on request.
Hospital Affiliations
Dr. Addai is affiliated with 5 hospitals according to CMS Physician Compare. Below are the 5 hospitals with full quality profiles on our site. Hospital network status depends on your Medicare Advantage plan — always verify before enrolling.
Decatur Memorial Hospital
St Johns Hospital
St Marys Hospital
Hshs Good Shepherd Hospital Inc
Kirby Medical Center
Practice Location & Telehealth Readiness
Dr. Addai practices at the address below. If you're evaluating Medicare coverage, location matters for in-network access and — when Dr. Addai offers telehealth — broadband availability at your home matters for virtual visits.
Address: 1800 E LAKE SHORE DR, Decatur, IL 62521
Phone: (217) 464-2966
Practice Accessibility
Average commute time in this zip · 89% of residents drive to work. Practical context for patients deciding whether to make the trip. See the full neighborhood profile at BestNeighborhood.org.
Telehealth Readiness
Households with fiber broadband — important for reliable virtual visits. Check your address at ISPReports.org.
Other Cardiology Doctors near 62521, IL
If Dr. Addai isn't accepting new patients or isn't in your plan's network, these are the closest cardiology doctors near 62521, IL:
| Doctor | Specialty | Medicare Patients / yr | Distance |
|---|---|---|---|
| Adebola Orekoya | Cardiovascular Disease (Cardiology) | — | 2.3 mi |
| Sharma Saith | Cardiovascular Disease (Cardiology) | 1.3K | 2.3 mi |
| Gabor Matos | Interventional Cardiology | 2.0K | 3.4 mi |
| Bernard B. Lim | Cardiac Electrophysiology | 807 | 3.5 mi |
| Rita Mukerji | Cardiovascular Disease (Cardiology) | 702 | 3.5 mi |
| Nadal M. Aker | Cardiovascular Disease (Cardiology) | 2.5K | 3.5 mi |
How to Use This Information
Choosing a Medicare plan that covers Dr. Addai takes three steps:
- Verify network status. Medicare Advantage plans each have their own provider networks. The same doctor may be in-network for one plan and out-of-network for another. Compare all Medicare plans near 62521, IL →
- Confirm directly with the office. Call Dr. Addai's office at (217) 464-2966 to verify they're accepting new patients and which plans they currently accept. Use our printable question list →
- Check enrollment windows. You can only switch Medicare plans during specific periods. Missing a deadline can cost you a year of coverage. Review enrollment dates →
Theodore R. Addai: Common Questions
Does Dr. Addai accept Medicare?
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What Medicare plans does Dr. Addai accept?
Does Dr. Addai offer telehealth visits?
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About the Reviewer
Wes Ward
Founder & Data Lead
Wes Ward reviews all doctor profiles and methodology for data accuracy. Every Medicare provider page on this site — including the utilization statistics, hospital affiliations, and geocoded practice address — goes through his data-validation pipeline before publication. We display only publicly available CMS data; you never need to enter personal information to see any of it.
With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to healthcare transparency. He is also a co-founder of BestNeighborhood.org (neighborhood data), CrimeGrade.org (block-level safety analytics), and ISPReports.org (broadband availability for telehealth). Those sister sites power the location and telehealth-readiness context on this page.
View full profile → • LinkedIn
Data sources: CMS NPPES (2026), CMS Medicare Provider Utilization & Payment Data (2023), CMS Physician Compare, CrimeGrade.org, BestNeighborhood.org, ISPReports.org. This page is for informational purposes only. Always verify coverage directly with the plan and practice. Read our full methodology → • Privacy policy
Medicare Resources
Choosing the right Medicare plan involves more than just doctor coverage. These guides help you evaluate the full picture:
How to Choose a Medicare Plan
In-depth guide to plan types, Star Ratings, drug tiers, and costs.
Enrollment Checklist
Printable step-by-step guide to gather your info and enroll.
Enrollment Dates & Deadlines
Key periods, timelines, and penalty calculations.
Questions for Your Doctor
Printable list to discuss Medicare with Dr. Addai or any physician.
Medicare Glossary
Definitions for 40+ complex Medicare terms.
Our Methodology
Learn how we source and verify CMS data for accuracy.
Medicare Plans for Conditions Treated by Cardiology Specialists
See which Medicare plans score highest for conditions commonly managed by this specialty in 62521, IL: