STANFORD TACK (MD) – Orthopaedic Surgery Physician, NPI 1558314013
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for STANFORD TACK (MD)
900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States
ATTN: RAQUEL LEON
DES PLAINES, IL 600162359
Phone: (847) 324-3976
Type: Mailing
Illinois Bone and Joint Institute, 720, Florsheim Drive, Libertyville, Lake County, Illinois, 60048, United States
LIBERTYVILLE, IL 600483757
Phone: (847) 247-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-04-06 • Largest payer in this snapshot: Stryker Corporation ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 130 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 155 | 31 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 97 | 93 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 62 | 58 | $0 |
Insurance plans in this area (ZIP 60016)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IL | 20610 | Aspiration and/or injection of large joint or joint capsule | 155 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery | IN | |
| - | IL |
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