DR. BRETT JOSEPH VASSALLO (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1386654408
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
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Provider Addresses for DR. BRETT JOSEPH VASSALLO (M.D.)
1875 DEMPSTER ST STE 665
PARK RIDGE, IL 600681168
Phone: (847) 825-1590
Fax: (847) 825-1604
Type: Mailing
Dempster Street, Buffalo, Erie County, New York, 14206, United States
#665
PARK RIDGE, IL 60068
Phone: (847) 825-1590
Fax: (847) 825-1604
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,022.
Total Amount is formed as General ($1,022) + Research ($0) + Ownership ($0) = $1,022.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Boston Scientific Corporation ($303).
Total Amount
$1,022
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,022
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $303 |
| Axonics, Inc. | $207 |
| Sumitomo Pharma America, Inc. | $122 |
| Applied Medical Resources Corporation | $108 |
| Momentis Surgical Inc. | $102 |
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: 2004-06-09
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 |
|---|---|---|---|---|
| I20040609000144 | 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 |
|---|---|---|---|---|
| J1644 | Injection, heparin sodium, per 1000 units | 3,200 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 471 | 297 | $0 |
| 51701 | Insertion of temporary bladder tube | 289 | 237 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 194 | 194 | $0 |
| 51700 | Simple bladder irrigation and/or instillation | 81 | 26 | $0 |
Insurance plans in this area (ZIP 60068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Urology, Obstetrics/Gynecology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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