YURI SERGEYEVICH KUKLOV (PA-C) – Specialist, NPI 1578103974
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for YURI SERGEYEVICH KUKLOV (PA-C)
1160 WINDBROOKE DR
BUFFALO GROVE, IL 600892300
Phone:
Type: Mailing
455 S ROSELLE RD STE 104
SCHAUMBURG, IL 601932966
Phone: (847) 352-5511
Type: Location
3200 W HIGGINS RD STE 101
HOFFMAN ESTATES, IL 601692174
Phone: (847) 750-6877
Fax: (708) 316-8866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 261 Open Payments records for all available years, with a total value of $6,713.
Total Amount is formed as General ($6,713) + Research ($0) + Ownership ($0) = $6,713.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,445).
Total Amount
$6,713
General + Research + Ownership
Payments
261
Total payment records
General Amount
$6,713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,445 |
| Abbott Laboratories | $1,220 |
| Boston Scientific Corporation | $848 |
| BIOTRONIK NRO, Inc. | $448 |
| Amgen Inc. | $303 |
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: 2020-03-16
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 |
|---|---|---|---|---|
| I20200316000440 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,265 | 124 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 954 | 234 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 324 | 119 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 168 | 38 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 135 | 73 | $0 |
Insurance plans in this area (ZIP 60089)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Anesthesiology, Interventional Pain Management | IL | |
| - | IL |
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