DR. NICHOLE M BUTLER-MOO YOUNG (MD) – Obstetrics & Gynecology Physician, NPI 1245222108
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,934 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for DR. NICHOLE M BUTLER-MOO YOUNG (MD)
7411 LAKE ST STE 1120
RIVER FOREST, IL 603051882
Phone: (708) 763-2328
Fax: (708) 345-9984
Type: Mailing
1860 PAYSPHERE CIR
CHICAGO, IL 606748801
Phone: (630) 469-2000
Type: Mailing
Harlem Avenue, Palos Heights, Worth Township, Cook County, Illinois, 60463, United States
PALOS HEIGHTS, IL 604631435
Phone: (708) 388-0785
Fax: (708) 388-1579
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $821.
Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($292).
Total Amount
$821
General + Research + Ownership
Payments
27
Total payment records
General Amount
$821
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $292 |
| Sumitomo Pharma America, Inc. | $247 |
| Exeltis, USA Inc. | $84 |
| ABBVIE INC. | $65 |
| MILLICENT US INC | $40 |
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: 2003-11-18
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20031118000608 | I | Obstetrics/Gynecology | 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 | 21 | 15 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | IL | |
| Family Practice | IL | |
| Clinical Psychologist | IL | |
| Family Practice | IL | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | ND | |
| Diagnostic Radiology | CA |
Reviews
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