PETER A DODZIK (PSY.D.) – Clinical Neuropsychologist, NPI 1437156999
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
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Provider Addresses for PETER A DODZIK (PSY.D.)
South Wilke Road, Arlington Heights, Wheeling Township, Cook County, Illinois, 60095, United States
ARLINGTON HEIGHTS, IL 600051525
Phone: (847) 577-0904
Type: Location
415 W GOLF RD STE 16
ARLINGTON HEIGHTS, IL 600053923
Phone: (847) 577-0904
Type: Location
4306 E State Blvd
Fort Wayne, IN 468156915
Phone: (260) 460-3203
Fax: (260) 460-3204
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2012-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080129000646 | I | Clinical Psychologist | IN | TBD |
| I20120423000225 | I | Clinical Psychologist | 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 |
|---|---|---|---|---|
| 96133 | Evaluation of neuropsychological test, each additional hour | 228 | 92 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 95 | 92 | $0 |
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 70 | 22 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 38 | 38 | $0 |
| 90837 | Psychotherapy, 1 hour | 32 | 32 | $0 |
Insurance plans in this area (ZIP 60005)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | IL | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 216 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Clinical Psychologist | IL | |
| Clinical Psychologist | IL | |
| Mental Health Counselor | IL | |
| Clinical Psychologist | IL |
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