ELISE SCOGGIN (D.O.) – Dermatology Physician, NPI 1023420361
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for ELISE SCOGGIN (D.O.)
1005 BROADWAY ST
QUINCY, IL 623012834
Phone: (217) 223-1200
Fax: (217) 277-3960
Type: Mailing
1259 S CEDAR CREST BLVD
SUITE 100
ALLENTOWN, PA 181036372
Phone: (610) 437-4134
Fax: (610) 437-2118
Type: Mailing
4800 MAINE ST
QUINCY, IL 623055875
Phone: (217) 214-6250
Fax: (217) 214-5826
Type: Location
1132 BROADWAY ST
QUINCY, IL 623012819
Phone: (217) 214-6250
Fax: (217) 385-3850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $1,268.
Total Amount is formed as General ($1,268) + Research ($0) + Ownership ($0) = $1,268.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($503).
Total Amount
$1,268
General + Research + Ownership
Payments
64
Total payment records
General Amount
$1,268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $503 |
| ABBVIE INC. | $170 |
| Novartis Pharmaceuticals Corporation | $122 |
| Lilly USA, LLC | $115 |
| GENZYME CORPORATION | $70 |
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: 2018-08-21
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 |
|---|---|---|---|---|
| I20180821003499 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,719 | 258 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 869 | 528 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 438 | 315 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 289 | 235 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 206 | 154 | $0 |
Insurance plans in this area (ZIP 62301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | MI | |
| Radiation Oncology | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Pain Management, Anesthesiology | IL | |
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL |
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