DR. TERRI L DALLAS-PRUNSKIS (MD) – Interventional Pain Medicine Physician, NPI 1457375115
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. TERRI L DALLAS-PRUNSKIS (MD)
West Medical Center Drive, McHenry, McHenry County, Illinois, 60050, United States
B103
MCHENRY, IL 60050
Phone: (815) 363-9595
Fax: (815) 578-4530
Type: Location
Elgin Drive, Fairlawn, Summit County, Ohio, 44333, United States
ELGIN, IL 60120
Phone: (847) 289-8822
Fax: (847) 289-0815
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $256.
Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Nevro Corp. ($123).
Total Amount
$256
General + Research + Ownership
Payments
8
Total payment records
General Amount
$256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $123 |
| Abbott Laboratories | $43 |
| Spinal Simplicity, LLC | $36 |
| ABBVIE INC. | $30 |
| Avanos Medical | $24 |
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: 2004-01-19
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 |
|---|---|---|---|---|
| I20040119000288 | I | Interventional Pain Management | 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 |
|---|---|---|---|---|
| J2704 | Injection, propofol, 10 mg | 155 | 19 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 104 | 30 | $0 |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 99 | 19 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 89 | 15 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 40 | 26 | $0 |
Insurance plans in this area (ZIP 60050)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | IL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 50 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Pain Management | IL | |
| Anesthesiology, Pain Management | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Physician Assistant | IL | |
| Anesthesiology, Interventional Pain Management, Pain Management | IL | |
| - | IL |
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