SUSAN M KSIAZEK (MD) – Ophthalmology Physician, NPI 1548326796
Ophthalmology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
960 OPHTHALMOLOGY in IL
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Provider Addresses for SUSAN M KSIAZEK (MD)
5841 S MARYLAND AVE # MC1099
CHICAGO, IL 606371447
Phone:
Type: Mailing
Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States
BURR RIDGE, IL 605276686
Phone: (773) 834-4064
Type: Location
180 Harvester Dr Ste 110
Burr Ridge, IL 605276686
Phone: (773) 834-4064
Type: Location
3400 Ministry Pkwy
Weston, WI 544765220
Phone: (715) 393-1000
Type: Location
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone:
Type: Mailing
2727 PLAZA DR
WAUSAU, WI 544014192
Phone: (715) 841-4950
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,773.
Total Amount is formed as General ($1,773) + Research ($0) + Ownership ($0) = $1,773.
Last reported payment date: 2024-05-18 • Largest payer in this snapshot: Alcon Vision LLC ($1,773).
Total Amount
$1,773
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $1,773 |
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: 2019-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101223000063 | I | Ophthalmology | IL | TBD |
| I20190222000122 | I | Ophthalmology | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 188 | 154 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 180 | 107 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 111 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 97 | 97 | $0 |
| 92134 | Imaging of retina | 90 | 83 | $0 |
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| - | WI | |
| - | WI |
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