DR. JOHN GREGORY SELGESTAD (M.D.) – Family Medicine Physician, NPI 1518935014
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JOHN GREGORY SELGESTAD (M.D.)
102 S Hennepin Ave
Dixon, IL 610213083
Phone: (815) 288-7711
Fax: (815) 285-8922
Type: Location
102, South Hennepin Avenue, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 610213083
Phone: (815) 288-7711
Fax: (815) 285-8922
Type: Mailing
Katherine Shaw Bethea Hospital, 403, East 1st Street, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 61021
Phone: (815) 288-5531
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: 2004-05-21
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 |
|---|---|---|---|---|
| I20040521000494 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 234 | 67 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 90 | 61 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 22 | 22 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61021)
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Group practice members
| Name | Specialty | State |
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| - | IL | |
| - | IL | |
| - | KY | |
| - | IL | |
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