DR. CARMEN T FOTSO-KOUATCHOU (MD) – Family Medicine Physician, NPI 1336122902
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. CARMEN T FOTSO-KOUATCHOU (MD)
Advocate Outpatient Center, 979, West Main Street, West Dundee, Kane County, Illinois, 60118, United States
STE 201
WEST DUNDEE, IL 601182095
Phone: (847) 426-9396
Fax: (847) 426-1086
Type: Mailing
Dundee Avenue, New Dundee, Wilmot, Region of Waterloo, Southwestern Ontario, Ontario, N0B 2E0, Canada
SUITE C
EAST DUNDEE, IL 601181648
Phone: (847) 426-9396
Fax: (847) 426-1086
Type: Location
979 W MAIN ST STE 201
WEST DUNDEE, IL 601182095
Phone: (800) 323-1743
Fax: (847) 426-1086
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $525.
Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Lilly USA, LLC ($267).
Total Amount
$525
General + Research + Ownership
Payments
8
Total payment records
General Amount
$525
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $267 |
| Novo Nordisk Inc | $143 |
| GlaxoSmithKline, LLC. | $115 |
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: 2004-03-18
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 |
|---|---|---|---|---|
| I20040318000614 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 246 | 133 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 165 | 115 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 96 | 96 | $0 |
| G0008 | Administration of influenza virus vaccine | 59 | 58 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 54 | 53 | $0 |
Insurance plans in this area (ZIP 60118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
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