Dr. Sushilkumar Mahabirprasad Tibrewala, MD

  • Marion, IL
  • Gastroenterologist
NPI1457366858PAC ID0749187276
Medicare services, 2024
997
Medicare patients, 2024
524
Part D claims, 2024
946
MIPS score, 2024
67
Hospital affiliations
5
Practice address
3003 Civic Circle Blvd Ste 100, Marion, IL 62959
Practice phone
Call (618) 993-1112
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Marion Healthcare Surgery Center

Surgery Center - Medicare-Certified · Marion, Illinois

See all 11 affiliations

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Dr. Sushilkumar Mahabirprasad Tibrewala is a gastroenterologist in Marion, Illinois

Dr. Tibrewala practices at Marion Healthcare Surgery Center in Marion, Illinois.

Dr. Tibrewala's NPI, 1457366858, was assigned on July 31, 2006. Dr. Tibrewala holds Illinois license 036-073571.

NPI and contact details
Medicare PAC ID
0749187276
NPI enumeration date
July 31, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(618) 993-1112
Professional email
Get email
Personal email
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Mobile number
Get number
Sex
Male
Estimated age
75
Medical school graduation
1977

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

Dr. Sushilkumar Mahabirprasad Tibrewala practices at Marion Healthcare Surgery Center in Marion, Illinois

Dr. Tibrewala's primary practice is Marion Healthcare Surgery Center, at 3003 Civic Circle Blvd Ste 100, Marion, IL 62959. The practice phone is (618) 993-1112.

  • Marion Healthcare Surgery Center
    3003 Civic Circle Blvd Ste 100, Marion, IL 62959Phone(618) 993-1112

Source: Dmand AI Affiliation Data

Dr. Sushilkumar Mahabirprasad Tibrewala is affiliated with 8 sites of care and 3 medical groups

Dr. Tibrewala's primary practice is Marion Healthcare Surgery Center in Marion, Illinois. Dr. Tibrewala is also affiliated with Deaconess Illinois Medical Center. The medical group on file is Deaconess Illinois Specialty Clinic, Kirkwood. Dmand AI also links Dr. Tibrewala to 4 more hospitals, 2 group practices and clinics and 2 medical groups, each named with a free account.

See all 11 affiliations for Dr. Tibrewala

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

Dmand AI tracks the EHR system at Dr. Sushilkumar Mahabirprasad Tibrewala's practice

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

EHR by site
SiteEHR vendor and product
Marion Healthcare Surgery CenterAvailable with a free account
+7 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sushilkumar Mahabirprasad Tibrewala is one of 771 gastroenterologists in Illinois

Gastroenterology is Dr. Tibrewala's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Tibrewala is licensed in Illinois.

Specialties and state licenses

  • Gastroenterology, IllinoisPrimaryLicense 036-073571 · taxonomy 207RG0100X

Gastroenterologists near Dr. Tibrewala

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

771gastroenterologists in Illinois
2gastroenterologists in Marion

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

Dr. Sushilkumar Mahabirprasad Tibrewala billed Medicare for 997 services in 2024

CMS data shows 997 Medicare services from Dr. Tibrewala across 12 procedure codes in 2024, for 524 Medicare patients. Medicare paid $105,171 for them.

Medicare services, 2024997
Medicare patients524
Paid by Medicare$105,171
Procedure codes12

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

  • 2023
  • 2024
Surgery
2023: 7632024: 7314%
Office and hospital visits
2023: 3612024: 26626%
Tests and treatments
2023: 112024: 0100%
Other services
2023: 372024: 0100%

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

  • In an office26627%
  • In a facility73173%

Dr. Tibrewala compared with the Illinois median for gastroenterologists, 2024

  • Dr. Tibrewala
  • Illinois median
Medicare services
997vs 4982.0 times
Medicare patients
524vs 30771% above
Part D claims
842vs 3702.3 times

Medians across 757 gastroenterologists in Illinois with Dmand AI profiles that report each measure.

Dr. Tibrewala'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. Tibrewala

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

Dr. Sushilkumar Mahabirprasad Tibrewala treated 524 Medicare patients in 2024, average age 72

CMS counts 524 Medicare patients who saw Dr. Tibrewala in 2024. The largest group is 65 to 74, with 256 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 23% are also on Medicaid. Their average risk score is 1.12, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Tibrewala's median patient age at 67, with 56% women.

Medicare patients, 2024524
Average age72
Average risk score1.12
Also on Medicaid23%

Dr. Tibrewala's Medicare patients by age, 2024

Dr. Tibrewala's Medicare patients by sex, 2024

  • Women32161%
  • Men20339%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis51%
  4. Anxiety37%
  5. Diabetes31%
  6. Ischemic heart disease28%
  7. Mood disorders24%
  8. Depression23%

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

Dr. Tibrewala's patients across all payers

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

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women56%
  • Men43%

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

Dr. Sushilkumar Mahabirprasad Tibrewala wrote 946 Medicare Part D claims in 2024

In 2024, Dr. Tibrewala wrote 946 Medicare Part D claims for 264 patients. 94% of them were for generic drugs. CMS names the drug for 842 of them, across 7 drugs with 11 or more claims each, at $37,821 in total drug cost. In 2023, CMS named 974 claims across 10 drugs.

Part D claims, 2024946
Drugs named by CMS7
Total drug cost$37,821
Part D patients264

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

  • Generic890 claims94%
  • Brand-name56 claims6%

Dr. Tibrewala'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.

Drug classes CMS tracks in Dr. Tibrewala's Part D claims, 2024

  • Antibiotics3%24 of 946 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 9742024: 84214%

Drugs named by CMS: 7 in 2024, 10 in 2023.

See all prescribing by Dr. Tibrewala

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. Sushilkumar Mahabirprasad Tibrewala scored 67 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 67 out of 100 for Dr. Tibrewala for performance year 2024, reported individually. Dr. Tibrewala accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 341 procedures of colonoscopy by Dr. Tibrewala, more than 98% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Tibrewala's MIPS scores, performance year 2024

  • 67of 100Final score
  • 52.4of 100Quality
  • 40of 100Improvement Activities
  • 45of 100Cost

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

Where Dr. Tibrewala ranks in Medicare procedure volume

Colonoscopy
98th percentile341 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
94th percentile266 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

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

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Dr. Sushilkumar Mahabirprasad Tibrewala received $9,687 in industry payments from 2016 to 2025

CMS Open Payments shows 221 general payments to Dr. Tibrewala from 31 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 77% of the total. Abbvie Inc. paid the most, $2,378.

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

General payments to Dr. Tibrewala by kind, 2016 to 2025

$9.7Kin total
  • Food and beverage$7,46777%
  • Travel and lodging$2,10322%
  • Education$1001%
  • Entertainment$170%

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

Share is of all general payments to this clinician.

See all payments to Dr. Tibrewala

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

Sources for Dr. Sushilkumar Mahabirprasad Tibrewala'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)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
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. Sushilkumar Mahabirprasad Tibrewala

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. Sushilkumar Mahabirprasad Tibrewala's NPI number?

Dr. Sushilkumar Mahabirprasad Tibrewala's NPI number is 1457366858. It was assigned on July 31, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Sushilkumar Mahabirprasad Tibrewala?

Dr. Sushilkumar Mahabirprasad Tibrewala is a gastroenterologist in Marion, Illinois. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Sushilkumar Mahabirprasad Tibrewala practice?

Dr. Tibrewala practices at 3003 Civic Circle Blvd Ste 100, Marion, IL 62959. Dr. Tibrewala's primary practice is Marion Healthcare Surgery Center in Marion, Illinois. Dmand AI also links Dr. Tibrewala to 4 hospitals, 2 group practices and clinics and 2 medical groups.

What is Dr. Sushilkumar Mahabirprasad Tibrewala's office phone number?

The practice phone on file for Dr. Tibrewala is (618) 993-1112.

What is Dr. Sushilkumar Mahabirprasad Tibrewala's medical license number?

Dr. Tibrewala holds Illinois license 036-073571.

Which hospitals is Dr. Sushilkumar Mahabirprasad Tibrewala affiliated with?

Dr. Tibrewala is affiliated with Deaconess Illinois Medical Center. Dmand AI links Dr. Tibrewala to 4 more hospitals.

What medical group is Dr. Sushilkumar Mahabirprasad Tibrewala part of?

Dr. Tibrewala is linked to Deaconess Illinois Specialty Clinic, Kirkwood. Dmand AI links Dr. Tibrewala to 2 more medical groups.

Does Dr. Sushilkumar Mahabirprasad Tibrewala accept Medicare?

Yes. CMS data shows Dr. Tibrewala billed Medicare for 997 services in 2024, and Dr. Tibrewala accepts Medicare assignment.

What is Dr. Sushilkumar Mahabirprasad Tibrewala's MIPS score?

Dr. Tibrewala's MIPS final score for performance year 2024 is 67 out of 100, reported individually.

How many Medicare patients does Dr. Sushilkumar Mahabirprasad Tibrewala see?

CMS counts 524 Medicare patients who saw Dr. Tibrewala in 2024, with an average age of 72.

Show 4 more questionsShow fewer questions

What services does Dr. Sushilkumar Mahabirprasad Tibrewala bill to Medicare?

In 2024, Dr. Tibrewala's most billed Medicare services were surgery: digestive system (43239), surgery: digestive system (45385) and surgery: digestive system (45378).

What drugs does Dr. Sushilkumar Mahabirprasad Tibrewala prescribe most?

In 2024 Medicare Part D data, Dr. Tibrewala's most prescribed drugs by claims were Famotidine, Pantoprazole Sodium and Omeprazole.

Has Dr. Sushilkumar Mahabirprasad Tibrewala received payments from drug or device companies?

CMS Open Payments shows $9,687 in general payments to Dr. Tibrewala from 31 companies from 2016 to 2025. The largest total came from Abbvie Inc.

How long has Dr. Sushilkumar Mahabirprasad Tibrewala been practicing?

Dr. Tibrewala graduated from medical school in 1977, 49 years ago.

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