DOUGLAS JAMES OLSON (PA-C) – Physician Assistant, NPI 1417581117
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for DOUGLAS JAMES OLSON (PA-C)
10330 S ROBERTS RD
PALOS HILLS, IL 604651971
Phone: (708) 237-7200
Fax: (708) 237-7201
Type: Location
750 HIGHLAND AVE
MADISON, WI 537052221
Phone:
Type: Mailing
19065 Hickory Creek Dr Ste 210
Mokena, IL 604488597
Phone: (708) 237-7200
Fax: (708) 237-7201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,604.
Total Amount is formed as General ($1,604) + Research ($0) + Ownership ($0) = $1,604.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,258).
Total Amount
$1,604
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,258 |
| DePuy Synthes Sales Inc. | $194 |
| Davol Inc. | $46 |
| Molnlycke Health Care US, LLC | $44 |
| Amgen Inc. | $22 |
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: 2021-08-13
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 |
|---|---|---|---|---|
| I20210813001814 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 38 | 35 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 30 | 28 | $0 |
Insurance plans in this area (ZIP 60465)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Sports Medicine | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery, Hand Surgery | IL | |
| Orthopedic Surgery, Sports Medicine | IL | |
| Hospitalist, Pediatric Medicine | IL | |
| Orthopedic Surgery, Hand Surgery | IL | |
| Hand Surgery, Plastic And Reconstructive Surgery | IL | |
| Orthopedic Surgery | IL |
Reviews
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