DR. MARK ALLEN GREVIOUS (M.D.) – Plastic Surgery Physician, NPI 1194727909
Plastic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
Provider Addresses for DR. MARK ALLEN GREVIOUS (M.D.)
849W OHIO ST 1
CHICAGO, IL 606428901
Phone: (312) 635-2262
Fax: (312) 635-2262
Type: Mailing
3900 W 203rd St
Olympia Fields, IL 604611183
Phone: (708) 855-7071
Fax: (708) 503-3224
Type: Location
1740 W Taylor St
Chicago, IL 606127232
Phone: (312) 996-7000
Type: Location
820, South Wood Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60608, United States
SUITE 515 CSN (MC 958)
CHICAGO, IL 606124325
Phone: (312) 996-9313
Type: Location
849 W OHIO ST
CHICAGO, IL 606426982
Phone:
Type: Mailing
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
7905 CALUMET AVE
MUNSTER, IN 463212549
Phone: (219) 836-7506
Fax: (219) 836-7515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $27,570.
Total Amount is formed as General ($27,570) + Research ($0) + Ownership ($0) = $27,570.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Avita Medical Americas, LLC ($17,993).
Total Amount
$27,570
General + Research + Ownership
Payments
37
Total payment records
General Amount
$27,570
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, LLC | $17,993 |
| Avita Medical Americas, Llc | $8,465 |
| Medtronic, Inc. | $875 |
| Mentor Worldwide LLC | $137 |
| AXOGEN | $46 |
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: 2006-05-05
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 |
|---|---|---|---|---|
| I20060505000390 | I | Plastic And Reconstructive 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 12 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60642)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | MA | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Physician Assistant | IL |
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