COURTNEY POTEMPA (PA-C) – Physician Assistant, NPI 1265405021
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Loading map...
Provider Addresses for COURTNEY POTEMPA (PA-C)
4311 N SHERIDAN RD APT 300
CHICAGO, IL 606135465
Phone: (630) 854-9646
Type: Mailing
3934-3936, North Lincoln Avenue, Cuyler, North Center, Roscoe Village, Chicago, Lake View Township, Cook County, Illinois, 60618-9997, United States
CHICAGO, IL 606132432
Phone: (773) 549-1700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $456.
Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.
Last reported payment date: 2023-08-28 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($139).
Total Amount
$456
General + Research + Ownership
Payments
12
Total payment records
General Amount
$456
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $139 |
| ITI, Inc. | $125 |
| ABBVIE INC. | $116 |
| Janssen Pharmaceuticals, Inc | $25 |
| Indivior Inc. | $21 |
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: 2005-06-14
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 |
|---|---|---|---|---|
| I20050614000023 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60613)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 27447 | Repair of knee joint | 44 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| P S Y C H I A T R Y | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| P S Y C H I A T R Y | IL | |
| Mental Health Counselor | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.