BROOK ERNESTINE MEDICI (PA-C) – Physician Assistant, NPI 1578953972
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BROOK ERNESTINE MEDICI (PA-C)
1550 N NORTHWEST HWY
SUITE 211
PARK RIDGE, IL 600681411
Phone: (847) 876-9300
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $271.
Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($119).
Total Amount
$271
General + Research + Ownership
Payments
3
Total payment records
General Amount
$271
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
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $119 |
| CSL Behring | $118 |
| Mindray DS USA, Inc. | $35 |
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: 2022-04-15
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 |
|---|---|---|---|---|
| I20150403001017 | I | Physician Assistant | IL | TBD |
| I20220415000044 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 32 | 31 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 26 | 26 | $0 |
Insurance plans in this area (ZIP 60068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Emergency Medicine, Pediatric Medicine | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine, Internal Medicine | IL | |
| Nurse Practitioner | IL |
Reviews
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