TOMMY PACANA (M.D.) – Gastroenterology Physician, NPI 1093018285
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for TOMMY PACANA (M.D.)
1256 WATERFORD DR STE 120
AURORA, IL 605044518
Phone: (630) 499-6688
Fax: (630) 499-6689
Type: Mailing
1256 WATERFORD DR
SUITE 120
AURORA, IL 605044510
Phone: (630) 499-6688
Type: Location
2040 OGDEN AVE STE 401
AURORA, IL 605047208
Phone: (630) 499-6688
Fax: (630) 499-6689
Type: Mailing
1901 W Galena Blvd
Aurora, IL 605064305
Phone: (630) 692-5960
Fax: (630) 592-5961
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $502.
Total Amount is formed as General ($502) + Research ($0) + Ownership ($0) = $502.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($334).
Total Amount
$502
General + Research + Ownership
Payments
18
Total payment records
General Amount
$502
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $334 |
| Janssen Biotech, Inc. | $113 |
| Medtronic, Inc. | $38 |
| Merck Sharp & Dohme LLC | $17 |
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: 2011-03-02
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 |
|---|---|---|---|---|
| I20110302001041 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 175 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 78 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 80 | 79 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 69 | 68 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 68 | 67 | $0 |
Insurance plans in this area (ZIP 60504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | IL | 45378 | Diagnostic examination of large bowel using an endoscope | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
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