BRUCE SUMMERVILLE (MD) – Orthopaedic Surgery Physician, NPI 1164474979
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
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Provider Addresses for BRUCE SUMMERVILLE (MD)
900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States
ATTN: RAQUEL LEON
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Type: Mailing
North Greenleaf Street, Gurnee, Lake County, Illinois, 60031, United States
SUITE 405
GURNEE, IL 600315709
Phone: (847) 336-3335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $701.
Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Organogenesis Inc. ($381).
Total Amount
$701
General + Research + Ownership
Payments
21
Total payment records
General Amount
$701
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-12-05
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 |
|---|---|---|---|---|
| I20061205000620 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,120 | 24 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,004 | 169 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 389 | 221 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 387 | 279 | $0 |
| 73562 | X-ray of knee, 3 views | 243 | 218 | $0 |
Insurance plans in this area (ZIP 60016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Sports Medicine, Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
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