ALEXANDRA LYNNE SURMAN (PA) – Physician Assistant, NPI 1013438795
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ALEXANDRA LYNNE SURMAN (PA)
West Henderson Street, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606571499
Phone: (616) 826-5660
Type: Mailing
Duchossois Center for Advanced Medicine, 5758, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
CHICAGO, IL 606371426
Phone: (773) 702-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-04-28 • Largest payer in this snapshot: Antares Pharma, Inc. ($50).
Total Amount
$50
General + Research + Ownership
Payments
1
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Antares Pharma, Inc. | $50 |
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: 2017-09-20
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 |
|---|---|---|---|---|
| I20170920002148 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 16 | $0 |
Insurance plans in this area (ZIP 60657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Internal Medicine | IL | |
| N E U R O S U R G E R Y | IL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | CT | |
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| - | IL | |
| Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | IL | |
| - | CA | |
| Internal Medicine, Gastroenterology | IL |
Reviews
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