DR. AMY JANE DERICK (M.D) – Dermatology Physician, NPI 1245279884
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. AMY JANE DERICK (M.D)
1531, South Grove Avenue, Barrington, Barrington Township, Cook County, Illinois, 60010, United States
SUITE 101
BARRINGTON, IL 600105240
Phone: (847) 381-8899
Fax: (847) 381-8999
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $37.
Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Boston Scientific Corporation ($37).
Total Amount
$37
General + Research + Ownership
Payments
1
Total payment records
General Amount
$37
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $37 |
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: 2022-07-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060823000273 | I | Dermatology | IL | TBD |
| I20220719002952 | I | Dermatology | FL | 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 | 18,811 | 8,118 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 5,465 | 3,609 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 1,962 | 1,063 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 770 | 569 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 474 | 425 | $0 |
Insurance plans in this area (ZIP 60010)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Dermatology, Internal Medicine | IL | |
| P A T H O L O G Y | IL |
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