CHRISTINA BOUTSICARIS (MD) – Rheumatology Physician, NPI 1063832996

CHRISTINA BOUTSICARIS (MD) is a healthcare provider. based in Maywood, Illinois. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036.143907 (IL). The NPI Number for CHRISTINA BOUTSICARIS (MD) is 1063832996

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA BOUTSICARIS (MD)
NPI
1063832996
Phone
(708) 216-4533
Address
2160 S 1ST AVE
Enumeration Date
18 April 2014
Last Update Date
20 July 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6709142706
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20171108000032
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

357 RHEUMATOLOGY in IL

Provider Addresses for CHRISTINA BOUTSICARIS (MD)

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-4533

    Type: Mailing

  • 1000 CENTRAL ST STE 800

    EVANSTON, IL 602011780

    Phone: (847) 570-2503

    Fax: (847) 570-3060

    Type: Mailing

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 $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2023-07-20 • Largest payer in this snapshot: ABBVIE INC. ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$114
View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171108000032IRheumatologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes292202$0
99215Established patient office or other outpatient visit, 40-54 minutes11883$0
99205New patient office or other outpatient visit, 60-74 minutes5656$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
20610Aspiration and/or injection of fluid from large joint2015$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTINA BOUTSICARIS (MD)'s NPI?
Yes. CHRISTINA BOUTSICARIS (MD) is listed with NPI 1063832996 in the public NPI dataset.
Does CMS list CHRISTINA BOUTSICARIS (MD) as active?
Yes — CHRISTINA BOUTSICARIS (MD) is active in the NPI listing used on this page.
What is CHRISTINA BOUTSICARIS (MD)'s primary classification?
Rheumatology Physician is the headline specialty for CHRISTINA BOUTSICARIS (MD) here. Clinical services aligned with this taxonomy classification.
What area does CHRISTINA BOUTSICARIS (MD) serve?
CHRISTINA BOUTSICARIS (MD)'s listing highlights Maywood, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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