STEPHANIE KAZANTSEV (M.D.) – Dermatology Physician, NPI 1023498714
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for STEPHANIE KAZANTSEV (M.D.)
1520 Bond St
Naperville, IL 605632358
Phone: (630) 357-7536
Fax: (630) 904-0413
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (866) 630-9882
Fax: (920) 682-5810
Type: Mailing
2051 PLAINFIELD RD
CREST HILL, IL 604031865
Phone: (815) 741-4343
Fax: (815) 741-8660
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 122 Open Payments records for all available years, with a total value of $2,781.
Total Amount is formed as General ($2,781) + Research ($0) + Ownership ($0) = $2,781.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($441).
Total Amount
$2,781
General + Research + Ownership
Payments
122
Total payment records
General Amount
$2,781
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $441 |
| ABBVIE INC. | $309 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $269 |
| Regeneron Healthcare Solutions, Inc. | $263 |
| Dermavant Sciences, Inc. | $241 |
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: 2019-07-17
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 |
|---|---|---|---|---|
| I20190717001071 | 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 | 393 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 223 | 184 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 161 | 136 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 112 | 106 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 95 | 79 | $0 |
Insurance plans in this area (ZIP 60563)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IL | |
| - | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL |
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