CHRISTINE MARIE RODRIGUEZ (PA-C) – Physician Assistant, NPI 1104150382
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for CHRISTINE MARIE RODRIGUEZ (PA-C)
85 W ALGONQUIN RD STE 220
ARLINGTON HEIGHTS, IL 600054423
Phone: (847) 381-8899
Type: Location
Ferry Road, Warrenville, DuPage County, Illinois, 60555, United States
SUITE 100
WARRENVILLE, IL 605553845
Phone: (630) 225-2663
Fax: (630) 225-2399
Type: Mailing
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.
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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: 2009-10-07
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 |
|---|---|---|---|---|
| I20091007000379 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 183 | 179 | $0 |
| 11402 | Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm | 156 | 138 | $0 |
| 11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 112 | 99 | $0 |
| 12031 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | 83 | 83 | $0 |
| 11401 | Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm | 70 | 64 | $0 |
Insurance plans in this area (ZIP 60005)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 28 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | FL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL |
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