Dr. Theodore Rexford Addai, MD

  • Decatur, IL
  • Cardiologist
NPI1912985185PAC ID7810991338
Medicare services, 2024
2,237
Medicare patients, 2024
888
Part D claims, 2024
8,207
Publications
4
MIPS score, 2024
95
Practice address
1800 E Lake Shore Dr, Decatur, IL 62521
Practice phone
Call (217) 464-2966
Professional email
Get professional email
Personal email
Get personal email
Mobile number
Get mobile number
Social profiles

Primary practice

HSHS St. Mary's Hospital

Hospital · Decatur, Illinois

See all 12 affiliations

Find Dr. Addai's professional email, personal email and mobile number

Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.

View contacts for free

Dr. Theodore Rexford Addai is a cardiologist in Decatur, Illinois

Dr. Addai practices at HSHS St. Mary's Hospital in Decatur, Illinois, part of Hospital Sisters of St. Francis.

Dr. Addai's NPI, 1912985185, was assigned on January 6, 2006. Dr. Addai graduated from University of Ghana Medical School in 1985. Dr. Addai holds Illinois license 036078026.

NPI and contact details
Medicare PAC ID
7810991338
NPI enumeration date
January 6, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(217) 464-2966
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
67
Medical school graduation
1985

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Theodore Rexford Addai practices at HSHS St. Mary's Hospital in Decatur, Illinois

Dr. Addai's primary practice is HSHS St. Mary's Hospital, at 1800 E Lake Shore Dr, Decatur, IL 62521 in Macon County. The practice phone is (217) 464-2966.

Source: Dmand AI Affiliation Data

Dr. Theodore Rexford Addai is affiliated with 8 sites of care and 4 medical groups

Dr. Addai's primary practice is HSHS St. Mary's Hospital in Decatur, Illinois, part of Hospital Sisters of St. Francis. Dr. Addai is also affiliated with Decatur Memorial Hospital. The medical group on file is Prairie Cardiovascular. Dmand AI also links Dr. Addai to 3 more hospitals, 3 group practices and clinics and 3 medical groups, each named with a free account.

See all 12 affiliations for Dr. Addai

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Theodore Rexford Addai's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Addai practices, 8 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
HSHS St. Mary's HospitalAvailable with a free account
+7 more sites and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Addai practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across Hospital Sisters of St. Francis and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Theodore Rexford Addai is one of 908 cardiologists in Illinois

Cardiovascular disease is Dr. Addai's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Addai is board certified in cardiovascular disease by the American Board of Internal Medicine. Dmand AI has Dr. Addai's licenses on file in 4 states: Illinois, Tennessee, Louisiana and Arizona.

Specialties and state licenses

  • Cardiovascular disease, IllinoisPrimaryLicense 036078026 · 1988 to 2026 · taxonomy 207RC0000X
  • Tennessee license1996 to 2015
  • Louisiana license2012
  • Arizona license1994 to 1995

Clinical focus

Dmand AI lists aneurysm, angioplasty, atrial fibrillation and flutter, cardiac catheterization, chronic hypertension, congestive heart failure, coronary artery disease and heart failure among the conditions Dr. Addai treats.

Cardiologists near Dr. Addai

Counts of cardiologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Theodore Rexford Addai billed Medicare for 2,237 services in 2024

CMS data shows 2,237 Medicare services from Dr. Addai across 31 procedure codes in 2024, for 888 Medicare patients. Medicare paid $148,494 for them.

Medicare services, 20242,237
Medicare patients888
Paid by Medicare$148,494
Procedure codes31

Dr. Addai's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 1,3422024: 1,16513%
Office and hospital visits
2023: 1,1372024: 86024%
Imaging
2023: 1422024: 19638%
Other services
2023: 1032024: 1684%

Where Dr. Addai's Medicare services took place, 2024

  • In an office1,00845%
  • In a facility1,22955%

Dr. Addai compared with the Illinois median for cardiologists, 2024

  • Dr. Addai
  • Illinois median
Medicare services
2,237vs 1,93616% above
Medicare patients
888vs 1,02313% below
Part D claims
8,000vs 1,5025.3 times

Medians across 906 cardiologists in Illinois with Dmand AI profiles that report each measure.

Dr. Addai's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Addai

Need commercial claims for Dr. Addai?

Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Addai and other cardiologists in Illinois.

Book a meeting

Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Theodore Rexford Addai treated 888 Medicare patients in 2024, average age 76

CMS counts 888 Medicare patients who saw Dr. Addai in 2024. The largest group is 75 to 84, with 362 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 17% are also on Medicaid. Their average risk score is 1.58, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Addai's median patient age at 75, with 49% women.

Medicare patients, 2024888
Average age76
Average risk score1.58
Also on Medicaid17%

Dr. Addai's Medicare patients by age, 2024

Dr. Addai's Medicare patients by sex, 2024

  • Women46552%
  • Men42348%

Chronic conditions among Dr. Addai's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease72%
  4. Arthritis48%
  5. Heart failure47%
  6. Atrial fibrillation37%
  7. Diabetes37%
  8. Chronic kidney disease35%

Share of Medicare patients with each condition. A patient can have several.

Dr. Addai's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 75

Patient panel by sex, all payers

  • Women49%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Theodore Rexford Addai wrote 8,207 Medicare Part D claims in 2024

In 2024, Dr. Addai wrote 8,207 Medicare Part D claims for 715 patients. 73% of them were for generic drugs. CMS names the drug for 8,000 of them, across 51 drugs with 11 or more claims each, at $1,598,484 in total drug cost. In 2023, CMS named 7,323 claims across 48 drugs.

Part D claims, 20248,207
Drugs named by CMS51
Total drug cost$1.6M
Part D patients715

Dr. Addai's Part D claims by kind of drug, 2024

  • Generic5,991 claims73%
  • Brand-name2,216 claims27%

Dr. Addai's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 7,3232024: 8,0009%

Drugs named by CMS: 51 in 2024, 48 in 2023.

See all prescribing by Dr. Addai

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Theodore Rexford Addai scored 95 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 95 out of 100 for Dr. Addai for performance year 2024, reported through an alternative payment model (APM). Dr. Addai accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Addai's MIPS scores, performance year 2024

  • 95of 100Final score
  • 86of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

For MedTech and pharma teams

Find cardiologists like Dr. Addai by procedure volume and prescribing

Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.

Dr. Theodore Rexford Addai has 4 publications on record

Dmand AI links 4 papers to Dr. Addai, published from 2016 to 2023. Dr. Addai's most frequent co-authors are Aibek Mirrakhimov, MD, Fahad Syed Naseerullah, MD and William G. Pyle, MD.

Papers4
Years published2016 to 2023

Dr. Addai's most frequent co-authors

Recent publications by Dr. Addai

See all 4 publications and co-authors

See who Dr. Addai researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Addai works with, so you can find a warm path to the right cardiologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Theodore Rexford Addai received $2,846 in industry payments from 2016 to 2025

CMS Open Payments shows 144 general payments to Dr. Addai from 25 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Novartis Pharmaceuticals Corporation paid the most, $722.

General payments to Dr. Addai by program year, 2016 to 2025

Companies that paid Dr. Addai the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Addai

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Theodore Rexford Addai has 1 award and honors on record

Dmand AI lists 1 award for Dr. Addai.

Awards and honors for Dr. Addai

  1. Undated
    • ACC Fellow

Source: Dmand AI Professional Profile Data

Dr. Theodore Rexford Addai graduated from University of Ghana Medical School

Dr. Addai graduated from University of Ghana Medical School in 1985. Dr. Addai is a member of ACC.

  1. Medical schoolUniversity of Ghana Medical School
  2. Board certified in cardiovascular diseaseAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Theodore Rexford Addai accepts plans from 19 insurance carriers

Dr. Addai is in network with 19 carriers, including Aetna, Elevance and HCSC. Medicare plans come from the most carriers, 12. Check the plan with the practice before a visit.

Plan types Dr. Addai accepts, by number of carriers

  1. Medicare12
  2. PPO11
  3. HMO10
  4. POS7
  5. EPO4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Theodore Rexford Addai's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Theodore Rexford Addai

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Theodore Rexford Addai's NPI number?

Dr. Theodore Rexford Addai's NPI number is 1912985185. It was assigned on January 6, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Theodore Rexford Addai?

Dr. Theodore Rexford Addai is a cardiologist in Decatur, Illinois. The primary specialty in the NPI Registry is Cardiovascular Disease Physician (taxonomy code 207RC0000X).

Where does Dr. Theodore Rexford Addai practice?

Dr. Addai practices at 1800 E Lake Shore Dr, Decatur, IL 62521. Dr. Addai's primary practice is HSHS St. Mary's Hospital in Decatur, Illinois, part of Hospital Sisters of St. Francis. Dmand AI also links Dr. Addai to 3 hospitals, 3 group practices and clinics and 3 medical groups.

What is Dr. Theodore Rexford Addai's office phone number?

The practice phone on file for Dr. Addai is (217) 464-2966.

What is Dr. Theodore Rexford Addai's medical license number?

Dr. Addai holds Illinois license 036078026, one of the licenses on file in 4 states.

Which states has Dr. Theodore Rexford Addai been licensed in?

Dmand AI has state licenses on file for Dr. Addai in Illinois (1988 to 2026), Tennessee (1996 to 2015), Louisiana (2012) and Arizona (1994 to 1995).

Which hospitals is Dr. Theodore Rexford Addai affiliated with?

Dr. Addai practices at HSHS St. Mary's Hospital in Decatur, Illinois. Dr. Addai is also affiliated with Decatur Memorial Hospital. Dmand AI links Dr. Addai to 3 more hospitals.

What medical group is Dr. Theodore Rexford Addai part of?

Dr. Addai is linked to Prairie Cardiovascular. Dmand AI links Dr. Addai to 3 more medical groups.

Does Dr. Theodore Rexford Addai accept Medicare?

Yes. CMS data shows Dr. Addai billed Medicare for 2,237 services in 2024, and Dr. Addai accepts Medicare assignment.

What is Dr. Theodore Rexford Addai's MIPS score?

Dr. Addai's MIPS final score for performance year 2024 is 95 out of 100, reported through an alternative payment model (APM).

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Theodore Rexford Addai see?

CMS counts 888 Medicare patients who saw Dr. Addai in 2024, with an average age of 76.

Is Dr. Theodore Rexford Addai board certified?

Yes. Dr. Addai is board certified in cardiovascular disease by the American Board of Internal Medicine.

What services does Dr. Theodore Rexford Addai bill to Medicare?

In 2024, Dr. Addai's most billed Medicare services were heart test or procedure (93306), office visit, established patient (99214) and heart test or procedure (93010).

Where did Dr. Theodore Rexford Addai go to medical school?

Dr. Addai graduated from University of Ghana Medical School in 1985.

What drugs does Dr. Theodore Rexford Addai prescribe most?

In 2024 Medicare Part D data, Dr. Addai's most prescribed drugs by claims were Atorvastatin Calcium, Carvedilol and Entresto.

Has Dr. Theodore Rexford Addai received payments from drug or device companies?

CMS Open Payments shows $2,846 in general payments to Dr. Addai from 25 companies from 2016 to 2025. The largest total came from Novartis Pharmaceuticals Corporation.

How long has Dr. Theodore Rexford Addai been practicing?

Dr. Addai graduated from medical school in 1985, 41 years ago.

Does Dr. Theodore Rexford Addai do research?

Dmand AI links 4 publications to Dr. Addai, published from 2016 to 2023.

Who does Dr. Theodore Rexford Addai publish with?

Dr. Addai's most frequent co-authors are Aibek Mirrakhimov, MD (1 shared paper), Fahad Syed Naseerullah, MD (1 shared paper) and William G. Pyle, MD (1 shared paper).

What insurance does Dr. Theodore Rexford Addai accept?

Dr. Addai is in network with 19 carriers, including Aetna, Elevance and HCSC. Medicare plans come from the most carriers, 12. Check the plan with the practice before a visit.

Selling to cardiovascular disease practices?

See cardiologists in Illinois by site of care and group

Find the practices, groups and hospitals they work with, and the right people to contact at each.

  • 30 days free
  • Self-serve
  • No credit card

Cookie settings

Turn each category on or off. Your choice is kept for 12 months and you can change it here at any time.

Necessary

Always on. Sign-in, security, downloads you asked for, your cookie choice, and the page that led to a signup.

View cookies (6)
  • dm_consentDmand AI. Your cookie choices and whether your browser sent a Global Privacy Control signal. 12 months.
  • dm_ft, dm_ltDmand AI. The first and the latest page you arrived on, with the date, so a signup is credited to the page that worked. 90 days, 30 days.
  • dm_fs, dm_lsDmand AI. The first and the latest source of a visit (a search engine, a campaign or the site that linked here). 90 days, 30 days.
  • dm_dl, dm_dl_okDmand AI. After you give an email address for a download, lets you download files without being asked again. 30 days.
  • Session and CSRF cookiesDmand AI (app.dmand.ai). Sign-in and form protection in the application. Session.
  • __cf_bm, cf_clearanceCloudflare. Tells people from automated traffic and keeps the site available. 30 minutes; cf_clearance while a security check is valid.

Analytics

On unless you turn it off. How pages are used, in aggregate, and recordings of how pages are used.

View cookies (6)
  • Google Tag ManagerGoogle. Loads the analytics and marketing tags that are on. Sets no cookie of its own and does not load when both categories are off. n/a.
  • _ga, _ga_<container-id>Google Analytics 4. Visits and page views in aggregate on dmand.ai. 2 years.
  • _clck, _clskMicrosoft Clarity. Recordings and heatmaps of how pages are used, with form fields masked. 1 year, 1 day.
  • CLID, MUID, ANONCHK, MR, SMMicrosoft (clarity.ms). Set by Microsoft when Clarity loads, to recognize a browser across sites that use Clarity. Up to 1 year.
  • None (cookieless)Ahrefs Analytics. Page views in aggregate. n/a.
  • ph_<project>_posthogPostHog. Product usage, errors and performance in app.dmand.ai, used to fix bugs and improve features. 365 days.

Marketing

On unless you turn it off, and always off when your browser sends a Global Privacy Control signal. A visitor identification service tells our sales team which companies and people visit.

View cookies (6)
  • _reb2buid, _reb2butkRB2B. Recognizes a returning browser for visitor identification. 360 days, 1 year.
  • _reb2bgeoRB2B. The location used to decide whether a visit can be identified. 20 days.
  • _reb2brefRB2B. The page or site that referred the visit. 15 days.
  • _reb2bfxf, _reb2btd, _reb2bliRB2B. Links the visit to an identified business profile. 1 month.
  • _reb2bresolveRB2B. Holds a match while it is being resolved. 2 days.
  • _reb2sessionID, _reb2bloadedRB2B. The current visit, and a guard against loading the script twice. 30 minutes, 1 second.

Functional

On unless you turn it off. Remembers choices such as a collapsed section.

View cookies (none today)