JERRY MYRDA (DO) – Internal Medicine Physician, NPI 1578564753
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for JERRY MYRDA (DO)
2350 ROYAL BLVD SUITE 300
ELGIN, IL 601234719
Phone: (847) 742-3120
Fax: (847) 742-4021
Type: Mailing
Royal Boulevard, Illinois Park, Elgin, Kane County, Illinois, 60123, United States
ELGIN, IL 601234718
Phone: (847) 742-3120
Fax: (847) 742-4021
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 228 Open Payments records for all available years, with a total value of $4,720.
Total Amount is formed as General ($4,720) + Research ($0) + Ownership ($0) = $4,720.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($825).
Total Amount
$4,720
General + Research + Ownership
Payments
228
Total payment records
General Amount
$4,720
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $825 |
| PFIZER INC. | $593 |
| Novo Nordisk Inc | $509 |
| Phathom Pharmaceuticals, Inc. | $328 |
| Janssen Pharmaceuticals, Inc | $278 |
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: 2004-09-10
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 |
|---|---|---|---|---|
| I20040910001253 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 510 | 287 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 250 | 190 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 242 | 242 | $0 |
| G0008 | Administration of influenza virus vaccine | 85 | 84 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 78 | 78 | $0 |
Insurance plans in this area (ZIP 60123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL |
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