MOON WOO NAM (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1154524973
Anatomic Pathology & Clinical Pathology Physician
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NPPES metrics only — not quality of care.
766 PATHOLOGY in IL
Provider Addresses for MOON WOO NAM (M.D.)
2160 S 1st Ave
Maywood, IL 601533328
Phone: (715) 213-7811
Type: Location
2357, Sequoia Drive, Aurora, Kane County, Illinois, 60506, United States
AURORA, IL 605066222
Phone: (630) 907-3969
Fax: (630) 907-3998
Type: Mailing
Advocate Medical Group Outpatient Center, 1221, North Highland Avenue, Aurora, Kane County, Illinois, 60506, United States
AURORA, IL 605061404
Phone: (630) 859-8700
Fax: (630) 264-8478
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2016-05-27
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 |
|---|---|---|---|---|
| I20160527001605 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,118 | 439 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 172 | 135 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 132 | 60 | $0 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 96 | 68 | $0 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 44 | 30 | $0 |
Insurance plans in this area (ZIP 60153)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IL | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 27 | 22 |
| PATHOLOGY | IL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 13 | 11 |
| PATHOLOGY | IL | 88342 | Tissue or cell analysis by immunologic technique | 86 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| - | IL | |
| - | IL | |
| P A T H O L O G Y | IL | |
| P A T H O L O G Y | MN | |
| - | IL | |
| - | IL | |
| P A T H O L O G Y | NJ | |
| P A T H O L O G Y | IL |
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