GENESIS TAVERAS – Physician Assistant, NPI 1578131017
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,067 PHYSICIAN ASSISTANT in IL
Provider Addresses for GENESIS TAVERAS
2101 S ARLINGTON HEIGHTS RD STE 165
ARLINGTON HEIGHTS, IL 600054142
Phone:
Type: Mailing
2306 UNIVERSITY CIR
NORTH CHICAGO, IL 600643036
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $631.
Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($187).
Total Amount
$631
General + Research + Ownership
Payments
34
Total payment records
General Amount
$631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
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: 2026-01-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20221203000315 | I | Physician Assistant | IL | TBD |
| I20260107002225 | I | Physician Assistant | NY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | IL | |
| Anesthesiology, Pain Management | IL | |
| Physician Assistant | IL |
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