DR. ELIZABETH NORD FAHRENBACH (M.D.) – Dermatology Physician, NPI 1609003557
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for DR. ELIZABETH NORD FAHRENBACH (M.D.)
7411 N MILWAUKEE AVE
NILES, IL 607143707
Phone: (773) 763-6000
Fax: (773) 763-6000
Type: Location
2923, West Layton Avenue, Greenfield, Milwaukee County, Wisconsin, 53221, United States
GREENFIELD, WI 532212626
Phone: (414) 328-8050
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 316 Open Payments records for all available years, with a total value of $6,396.
Total Amount is formed as General ($6,396) + Research ($0) + Ownership ($0) = $6,396.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($1,458).
Total Amount
$6,396
General + Research + Ownership
Payments
316
Total payment records
General Amount
$6,396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,458 |
| Amgen Inc. | $816 |
| Janssen Biotech, Inc. | $765 |
| Regeneron Healthcare Solutions, Inc. | $635 |
| GENZYME CORPORATION | $461 |
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: 2014-11-06
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 |
|---|---|---|---|---|
| I20141106001356 | I | Dermatology | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 7,600 | 28 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 812 | 137 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 719 | 518 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 597 | 387 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 384 | 295 | $0 |
Insurance plans in this area (ZIP 60714)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | WI | 17003 | Destruction of 2-14 skin growths | 250 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL |
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