DR. PENELOPE A EWBANK (MD) – Allergy & Immunology Physician, NPI 1558358911
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
220 ALLERGY/IMMUNOLOGY in IL
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Provider Addresses for DR. PENELOPE A EWBANK (MD)
Big Hollow Professional, 6615, North Big Hollow Road, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 61615
Phone: (309) 691-5200
Fax: (309) 691-5201
Type: Mailing
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 189 Open Payments records for all available years, with a total value of $24,907.
Total Amount is formed as General ($24,907) + Research ($0) + Ownership ($0) = $24,907.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($21,638).
Total Amount
$24,907
General + Research + Ownership
Payments
189
Total payment records
General Amount
$24,907
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $21,638 |
| AstraZeneca Pharmaceuticals LP | $622 |
| Takeda Pharmaceuticals U.S.A., Inc. | $528 |
| Regeneron Healthcare Solutions, Inc. | $479 |
| GENZYME CORPORATION | $347 |
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: 2011-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20110303000077 | I | Allergy/Immunology | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 95044 | Test for allergy using skin patch | 1,662 | 23 | $0 |
| 95004 | Test for allergy using allergenic extract | 451 | 24 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 176 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 82 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 97 | 77 | $0 |
Insurance plans in this area (ZIP 61615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | IL | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 544 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL |
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