MS. LIDIA S POMAVILLE (PA-C) – Physician Assistant, NPI 1144595174
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MS. LIDIA S POMAVILLE (PA-C)
3253 S HARLEM AVE
SUITE 1A
BERWYN, IL 604023073
Phone: (262) 898-4400
Fax: (708) 788-6884
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (866) 630-9882
Fax: (920) 682-5810
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 379 Open Payments records for all available years, with a total value of $11,120.
Total Amount is formed as General ($11,120) + Research ($0) + Ownership ($0) = $11,120.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($2,204).
Total Amount
$11,120
General + Research + Ownership
Payments
379
Total payment records
General Amount
$11,120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $2,204 |
| Incyte Corporation | $1,286 |
| Janssen Biotech, Inc. | $826 |
| Galderma Laboratories, L.P. | $672 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $525 |
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: 2015-06-05
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 |
|---|---|---|---|---|
| I20150605002953 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 217 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 111 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 84 | 69 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 73 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 49 | $0 |
Insurance plans in this area (ZIP 60402)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 17003 | Destruction of 2-14 skin growths | 54 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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