DR. JASON BOHM WALDINGER (M.D.) – Dermatology Physician, NPI 1437461027
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
704 DERMATOLOGY in IL
Provider Addresses for DR. JASON BOHM WALDINGER (M.D.)
1160 PARK AVE W
SUITE 1N
HIGHLAND PARK, IL 600352230
Phone: (847) 433-2620
Fax: (847) 433-8727
Type: Mailing
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 570-2040
Fax: (847) 433-8727
Type: Mailing
71 WAUKEGAN RD STE 700
LAKE BLUFF, IL 600441614
Phone: (847) 433-2620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2014-07-17
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20140717001094 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,122 | 242 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 760 | 603 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 472 | 365 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 289 | 248 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 253 | 200 | $0 |
Insurance plans in this area (ZIP 60035)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 11101 | Biopsy of each additional growth of skin and/or tissue | 190 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| Allergy/Immunology, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Hematology/Oncology, Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Gynecological Oncology, Obstetrics/Gynecology | IL |
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.