DR. JORDAN CLAIRE CARQUEVILLE (MD) – Dermatology Physician, NPI 1285830166
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for DR. JORDAN CLAIRE CARQUEVILLE (MD)
1945 W Wilson Ave Ste 6119
Chicago, IL 606405259
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
4905 Old Orchard Ctr Lowr Level
Skokie, IL 600771458
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
920 N York Rd Ste 100
Hinsdale, IL 605213515
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
CHICAGO, IL 606114546
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
680 N LAKE SHORE DR
STE 1425
CHICAGO, IL 606114451
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
920 N YORK RD STE 100
HINSDALE, IL 605213515
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Mailing
737 N MICHIGAN AVE STE 720
CHICAGO, IL 606116661
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 90 Open Payments records for all available years, with a total value of $2,274.
Total Amount is formed as General ($2,274) + Research ($0) + Ownership ($0) = $2,274.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($570).
Total Amount
$2,274
General + Research + Ownership
Payments
90
Total payment records
General Amount
$2,274
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $570 |
| Amgen Inc. | $359 |
| REVANCE THERAPEUTICS, INC. | $257 |
| Lilly USA, LLC | $211 |
| Arcutis Biotherapeutics, Inc. | $93 |
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: 2013-01-23
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 |
|---|---|---|---|---|
| I20130123000232 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 456 | 100 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 152 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 167 | 139 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 158 | 126 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 135 | 135 | $0 |
Insurance plans in this area (ZIP 60640)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 17003 | Destruction of 2-14 skin growths | 385 | 63 |
| DERMATOLOGY | IL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 12 | 11 |
| DERMATOLOGY | IL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 16 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL |
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