John P. Opilka, D.O.
Family Medicine Physician · Altamont, IL
John P. Opilka, D.O. is a family medicine physician with a practice address in Altamont, Illinois, and NPI 1497715056, issued on Mar 27, 2006. Check the license (Illinois 036099320, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- John P. Opilka
- Credential
- D.O.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 036099320 IL
Self-reported in NPPES; status is on the state search - Practice location
- 5 E Cumberland RD, Altamont, IL 62411
- Phone
- (618) 483-6151
- Enumerated
- Mar 27, 2006
- Record last updated
- Apr 6, 2023
- Fax
- (618) 483-6153
- Medicaid ID
- 371391171001 IL
- Medicare enrollment
- Enrolled (PECOS I20051121000215); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 5 E Cumberland RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Randi BergFamily Nurse Practitioner1578008769
- Kimberley Burgess, APNFamily Nurse Practitioner1932120466
- Heather Forys, APNFamily Nurse Practitioner1902218308
- Kathryn Koester, APRNFamily Nurse Practitioner1720631443
- Tammy Sasse, APRNFamily Nurse Practitioner1609322585
- Erin Swingler, NPFamily Nurse Practitioner1174872188
Verify John P. Opilka in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036099320Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.2 times the Medicare Part D claims of the average family medicine physician in 2024
15,030 Medicare Part D claims for 659 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 514 claims were for opioids.
Most prescribed
- Furosemide608 claims
- Atorvastatin Calcium572 claims
- Levothyroxine Sodium539 claims
- Potassium Chloride528 claims
- Eliquis483 claims
- Metoprolol Succinate385 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $136.27
2 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
One hospital affiliation
- Sarah Bush Lincoln Health CenterMattoon, IL · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
2 family medicine physician records list a practice address in Altamont
They are 2 of the 31 NPPES records with a practice address in Altamont, and 6,215 family medicine physician records in Illinois.
All 2 in Altamont → All 6,215 in Illinois → Every provider in Altamont →
Other family medicine physician records in Illinois
- Jon Aagaard, MDWheaton, IL1750496923
- Napoleon Abando, MDWoodstock, IL1003972753
- Nikka Abaricia, MDChicago, IL1790366342
- Mohemmed AbbasChicago, IL1609612522
- Muhammad AbbasAlton, IL1588341556
- Syed AbbasWest Dundee, IL1972733103
- Stefanie AbbottMaywood, IL1861137457
- Roann Abdeladl, MDEvanston, IL1437087103
- Ahmed Abdelkader, MDChicago, IL1659104230
- Guy Abderholden, MDAntioch, IL1902899792
Common questions
What is John P. Opilka, D.O.'s NPI number?
John P. Opilka, D.O.'s National Provider Identifier (NPI) is 1497715056, issued on Mar 27, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John P. Opilka, D.O. located?
The NPPES record lists a practice address at 5 E Cumberland RD, Altamont, IL, 62411. Phone: (618) 483-6151. Providers update this record themselves, so call before visiting.
How can I verify John P. Opilka, D.O.'s license?
NPPES lists Illinois license number 036099320, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John P. Opilka, D.O. prescribe under Medicare Part D?
In 2024, John P. Opilka, D.O. had 15,030 Medicare Part D claims for 659 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is John P. Opilka, D.O.'s MIPS final score?
The 2023 MIPS final score is 91.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.