CARLY CHANDLER – Physician Assistant, NPI 1568190494
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for CARLY CHANDLER
4813 VAHALLA DR
CHAMPAIGN, IL 618223331
Phone:
Type: Mailing
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203981
Phone: (217) 366-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,378.
Total Amount is formed as General ($1,378) + Research ($0) + Ownership ($0) = $1,378.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GENZYME CORPORATION ($187).
Total Amount
$1,378
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,378
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-25
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 |
|---|---|---|---|---|
| I20221115002109 | I | Physician Assistant | IL | TBD |
| I20240725001849 | I | Physician Assistant | PA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 933 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 462 | 351 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 258 | 206 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 149 | 132 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 131 | 120 | $0 |
Insurance plans in this area (ZIP 61822)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA |
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