MRS. TRACEE A BLACKBURN (PA-C) – Dermatology Physician, NPI 1396776498
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for MRS. TRACEE A BLACKBURN (PA-C)
British School of Chicago, 1460, North Halsted Street, River North, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60642, United States
SUITE 505
CHICAGO, IL 60642
Phone: (312) 266-6462
Fax: (312) 266-6481
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 320 Open Payments records for all available years, with a total value of $87,747.
Total Amount is formed as General ($87,747) + Research ($0) + Ownership ($0) = $87,747.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($48,536).
Total Amount
$87,747
General + Research + Ownership
Payments
320
Total payment records
General Amount
$87,747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $48,536 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $12,501 |
| GENZYME CORPORATION | $10,018 |
| Arcutis Biotherapeutics, Inc. | $6,337 |
| Incyte Corporation | $4,021 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60642)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 17003 | Destruction of 2-14 skin growths | 193 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | PA | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IN | |
| - | IL | |
| D E R M A T O L O G Y | IL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MA | |
| D E R M A T O L O G Y | IN |
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.