DR. DALE R CHILSON (D.O) – Facial Plastic Surgery Physician, NPI 1235141664
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
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Provider Addresses for DR. DALE R CHILSON (D.O)
4040, Progress Boulevard, Peru, LaSalle County, Illinois, 61354, United States
PERU, IL 613541124
Phone: (815) 224-3040
Fax: (815) 224-4327
Type: Location
Saint Margaret's Hospital, 600, East 1st Street, 4th Ward, Spring Valley, Bureau County, Illinois, 60420, United States
SPRING VALLEY, IL 613621512
Phone: (815) 224-3040
Fax: (815) 224-4327
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: AERIN MEDICAL INC. ($118).
Total Amount
$155
General + Research + Ownership
Payments
5
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $118 |
| Medtronic, Inc. | $18 |
| Acclarent, Inc | $18 |
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: 2022-06-07
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 |
|---|---|---|---|---|
| I20220607000494 | I | Otolaryngology | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61354)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| General Surgery | WI | |
| Physical Therapist In Private Practice | WI | |
| Cardiovascular Disease (Cardiology) | WI | |
| Hospitalist, Family Practice | WI | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Physical Therapist In Private Practice | WI |
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