MS. CYNTHIA FRANCES SUSEDIK (D.O.) – Family Medicine Physician, NPI 1043358914
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. CYNTHIA FRANCES SUSEDIK (D.O.)
4N608 HIGH MEADOW RD
ST CHARLES, IL 601758513
Phone: (815) 970-4859
Fax: (815) 787-3678
Type: Mailing
3925 N GATEWAY DR
APPLETON, WI 549137863
Phone: (920) 830-6877
Fax: (920) 993-5037
Type: Location
Hartland Bank & Trust Company, 1985, DeKalb Avenue, Sycamore, DeKalb Township, DeKalb County, Illinois, 60178, United States
SUITE 300
SYCAMORE, IL 601783107
Phone: (815) 754-1122
Fax: (815) 787-3678
Type: Location
1985 Dekalb Ave
Suite 300
Sycamore, IL 601783107
Phone: (815) 754-1122
Fax: (815) 787-3678
Type: Location
333 N Green Bay Rd
Neenah, WI 549561954
Phone: (920) 830-6877
Fax: (920) 993-5037
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: 2017-01-09
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 |
|---|---|---|---|---|
| I20170109000478 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60175)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| General Surgery | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| O P H T H A L M O L O G Y | WI | |
| - | OH | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI |
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