DR. DAPHNE TESSALEE (MD) – Family Medicine Physician, NPI 1124078357
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. DAPHNE TESSALEE (MD)
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
LA GRANGE, IL 605252659
Phone: (708) 245-8900
Fax: (708) 245-5604
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($103).
Total Amount
$181
General + Research + Ownership
Payments
2
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $103 |
| ShockWave Medical, Inc | $77 |
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: 2010-04-22
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 |
|---|---|---|---|---|
| I20100422001135 | I | Family Practice | 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 | 55 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 40 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 21 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL | |
| Clinical Psychologist | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Family Practice, Osteopathic Manipulative Medicine | IL |
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