KELLY PJEVCEVIC (PA-C) – Physician Assistant, NPI 1013197110
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for KELLY PJEVCEVIC (PA-C)
900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States
ATTN: RAQUEL LEON
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Type: Mailing
Waukegan Road, Morton Grove, Niles Township, Cook County, Illinois, 60029, United States
SUITE 200
MORTON GROVE, IL 600532127
Phone: (847) 324-3976
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: 2008-05-06
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 |
|---|---|---|---|---|
| I20080506000526 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 53 | 52 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60016)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 73562 | X-ray of knee, 3 views | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Physician Assistant | HI |
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