OLIVIA ZACZYK (PA-C) – Physician Assistant, NPI 1477254639
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for OLIVIA ZACZYK (PA-C)
PO BOX 779203
CHICAGO, IL 606779203
Phone: (219) 228-4200
Type: Mailing
14785 W 101ST AVE STE 2A
DYER, IN 463113371
Phone: (219) 228-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,141.
Total Amount is formed as General ($2,141) + Research ($0) + Ownership ($0) = $2,141.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($498).
Total Amount
$2,141
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $498 |
| Novartis Pharmaceuticals Corporation | $378 |
| Incyte Corporation | $190 |
| Lilly USA, LLC | $108 |
| SANOFI-AVENTIS U.S. LLC | $100 |
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: 2023-05-01
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 |
|---|---|---|---|---|
| I20230501001896 | I | Physician Assistant | IN | 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 | 285 | 51 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 102 | 83 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 91 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 67 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 51 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IN | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| D E R M A T O L O G Y | IN | |
| Physician Assistant | IL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | IN | |
| Pathology, Dermatology, Dermatology, Pathology | IL |
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