CASEY DISTASO (MD) – Emergency Medicine Physician, NPI 1003311747
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,847 EMERGENCY MEDICINE in IL
Provider Addresses for CASEY DISTASO (MD)
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637
Phone: (773) 795-9758
Type: Location
Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States
BURR RIDGE, IL 605276686
Phone: (773) 702-1150
Type: Mailing
3601 The Vanderbilt Clinic
Nashville, TN 372320001
Phone: (615) 322-3000
Type: Location
5841 S Maryland Ave # Mc5068
Chicago, IL 60637
Phone: (773) 795-9758
Type: Location
4140 W 190TH ST
TORRANCE, CA 905045513
Phone:
Type: Mailing
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 900481804
Phone: (310) 423-8780
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Type: Mailing
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 372320001
Phone: (615) 322-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-06-26
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 |
|---|---|---|---|---|
| I20240626002835 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 72 | 72 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 42 | 42 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 14 | $0 |
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), General Surgery | CA | |
| - | WA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CA | |
| N E U R O S U R G E R Y | OH | |
| Nurse Practitioner | CA | |
| General Surgery, Critical Care (Intensivists) | CA | |
| Internal Medicine | CA |
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