ALLISON LININ WANG – Dermatology Physician, NPI 1063953354
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for ALLISON LININ WANG
4909 N Glen Park Place Rd
Peoria, IL 616144676
Phone: (309) 674-7546
Fax: (309) 691-9286
Type: Location
1900 W POLK ST RM 519
CHICAGO, IL 606123723
Phone:
Type: Mailing
1035 S STATE ROAD 7 STE 122
WELLINGTON, FL 334146136
Phone: (650) 660-9708
Type: Mailing
5323 Harry Hines Blvd
Dallas, TX 753907201
Phone: (214) 590-8000
Type: Location
1950 W Polk St
Chicago, IL 606123723
Phone: (312) 864-4700
Type: Location
10620 Corporate Dr
Fort Wayne, IN 468451711
Phone: (260) 266-8392
Type: Location
Cook County Central Campus Health Center, 1950, West Polk Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123723
Phone: (312) 864-4700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $272.
Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.
Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).
Total Amount
$272
General + Research + Ownership
Payments
5
Total payment records
General Amount
$272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210409000750 | I | Dermatology | FL | TBD |
| I20210811001815 | I | Dermatology | IN | TBD |
| I20231019002565 | I | Dermatology | VT | TBD |
| I20240903000460 | 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 | 280 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 110 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 95 | 86 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 84 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 39 | $0 |
Insurance plans in this area (ZIP 61614)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Plastic And Reconstructive Surgery | IL | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | IL | |
| - | CA |
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