JEFFREY STUART ILLECK (M.D.) – Obstetrics & Gynecology Physician, NPI 1013920958
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,007 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for JEFFREY STUART ILLECK (M.D.)
500 Superior Ave Ste 330
Newport Beach, CA 926633658
Phone: (949) 438-2440
Type: Location
19582 BEACH BLVD STE 202
HUNTINGTON BEACH, CA 926482996
Phone: (714) 841-9899
Fax: (714) 841-2729
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $642.
Total Amount is formed as General ($642) + Research ($0) + Ownership ($0) = $642.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($220).
Total Amount
$642
General + Research + Ownership
Payments
30
Total payment records
General Amount
$642
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $220 |
| Exact Sciences Corporation | $121 |
| CooperSurgical, Inc. | $50 |
| Sumitomo Pharma America, Inc. | $39 |
| Biogen, Inc. | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120307000433 | I | Obstetrics/Gynecology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 54 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 31 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 31 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 17 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 18 | 18 | $0 |
Insurance plans in this area (ZIP 92663)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Family Practice | VA | |
| General Surgery | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| General Surgery | CA |
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