MR. ADAM MICHAEL MOLLSEN (PA-C) – Physician Assistant, NPI 1639140338
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MR. ADAM MICHAEL MOLLSEN (PA-C)
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 469-9200
Type: Mailing
1550 N RANDALL RD
ELGIN, IL 601237876
Phone: (815) 398-9491
Fax: (815) 381-7498
Type: Location
PO BOX 735263
CHICAGO, IL 606735263
Phone:
Type: Mailing
120, Spalding Drive, Naperville, DuPage County, Illinois, 60540, United States
400
NAPERVILLE, IL 605406508
Phone: (630) 967-2225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,415.
Total Amount is formed as General ($1,415) + Research ($0) + Ownership ($0) = $1,415.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: NuVasive, Inc. ($930).
Total Amount
$1,415
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,415
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| NuVasive, Inc. | $930 |
| Globus Medical, Inc. | $424 |
| SI-BONE, INC. | $40 |
| DJO, LLC | $20 |
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: 2007-07-17
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 |
|---|---|---|---|---|
| I20070717000360 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 118 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 35 | 35 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 33 | 19 | $0 |
| 22614 | Fusion of additional segment of spine | 25 | 13 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 23 | 15 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IL | |
| Family Practice, Sports Medicine | IL | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | TN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | IL | |
| Physician Assistant | WI | |
| Physician Assistant | IL | |
| - | WI |
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