DR. TAMMY J HOMMAN (M.D.) – Family Medicine Physician, NPI 1558337956
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for DR. TAMMY J HOMMAN (M.D.)
230 W. Blackhawk Drive
Byron, IL 610108925
Phone: (779) 696-1300
Type: Location
403 E 1st St
Dixon, IL 610213116
Phone: (815) 285-5629
Fax: (815) 285-5634
Type: Location
1601 PARKVIEW AVENUE
CREDENTIALING S200C
ROCKFORD, IL 61107
Phone: (815) 395-5861
Fax: (815) 395-5575
Type: Mailing
1221 E STATE ST
ROCKFORD, IL 611042231
Phone: (815) 972-1000
Fax: (815) 972-1086
Type: Location
Katherine Shaw Bethea Hospital, 403, East 1st Street, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 610213116
Phone: (815) 285-5629
Fax: (815) 285-5634
Type: Mailing
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 |
|---|---|---|---|---|
| I20040521000809 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61010)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IL | 90670 | Pneumococcal vaccine for injection into muscle | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | WI | |
| - | IL | |
| O P H T H A L M O L O G Y | NY | |
| O T O L A R Y N G O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| G A S T R O E N T E R O L O G Y | FL |
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