ALYSSA CUBBISON (DO) – Diagnostic Radiology Physician, NPI 1457779241
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for ALYSSA CUBBISON (DO)
2160 S 1st Ave
Maywood, IL 601533328
Phone: (708) 216-9000
Type: Location
353 N DESPLAINES ST APT 1610
CHICAGO, IL 606611351
Phone: (330) 519-6615
Type: Mailing
250 E SUPERIOR ST
CHICAGO, IL 606112914
Phone: (330) 519-6615
Type: Location
250 E Superior St
Chicago, IL 606112914
Phone: (330) 519-6615
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-8315
Fax: (614) 293-6935
Type: Mailing
1145 OLENTANGY RIVER RD
COLUMBUS, OH 432123117
Phone: (614) 293-8315
Fax: (614) 293-6935
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.
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: 2020-09-04
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 |
|---|---|---|---|---|
| I20200904001497 | I | Diagnostic Radiology | OH | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 675 | 675 | $0 |
| 77063 | Screening 3d breast mammography | 669 | 669 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 166 | 161 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 96 | 91 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 87 | 83 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| - | OH | |
| Registered Dietitian Or Nutrition Professional, Physician Assistant | OH | |
| - | OH | |
| Registered Dietitian Or Nutrition Professional | OH | |
| Registered Dietitian Or Nutrition Professional | OH | |
| Registered Dietitian Or Nutrition Professional | OH |
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