SARAH ANN LUND PETERSON (PA-C) – Medical Physician Assistant, NPI 1598942823
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for SARAH ANN LUND PETERSON (PA-C)
16105, South La Grange Road, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
ORLAND PARK, IL 604675503
Phone: (708) 636-3767
Type: Mailing
820 SPRINGER DR
LOMBARD, IL 601486413
Phone: (815) 744-8554
Type: Mailing
3655 PLYMOUTH BLVD STE 110
PLYMOUTH, MN 554463665
Phone: (612) 486-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $494.
Total Amount is formed as General ($494) + Research ($0) + Ownership ($0) = $494.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Blueprint Medicines Corporation ($34).
Total Amount
$494
General + Research + Ownership
Payments
28
Total payment records
General Amount
$494
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
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: 2020-08-06
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 |
|---|---|---|---|---|
| I20080624000120 | I | Physician Assistant | IL | TBD |
| I20200806003412 | I | Physician Assistant | MN | 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 | 336 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 209 | 187 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 105 | 89 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 92 | 77 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 60 | 54 | $0 |
Insurance plans in this area (ZIP 60467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| D E R M A T O L O G Y | TX | |
| Dermatology, Dermatology, Pathology | VA | |
| Physician Assistant | MN | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | MN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IL |
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