SCOTT DETLOFF (PA-C) – Physician Assistant, NPI 1639651060
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for SCOTT DETLOFF (PA-C)
415 E CONGRESS PKWY STE A
CRYSTAL LAKE, IL 600146248
Phone: (815) 356-7494
Fax: (815) 356-7541
Type: Mailing
415-A E. Congress Parkway #1s
Crystal Lake, IL 60014
Phone: (833) 706-7846
Type: Location
519 S Roselle Rd
Schaumburg, IL 601932925
Phone: (847) 985-0600
Fax: (847) 985-3786
Type: Location
415 E Congress Pkwy Ste A
Crystal Lake, IL 600146248
Phone: (815) 356-7494
Fax: (815) 356-7541
Type: Location
875 South Route 31
Crystal Lake, IL 600148190
Phone: (888) 396-3729
Type: Location
2000 LAKE AVE
WOODSTOCK, IL 600987401
Phone: (815) 337-7100
Fax: (815) 337-4793
Type: Mailing
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 $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($53).
Total Amount
$95
General + Research + Ownership
Payments
3
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $53 |
| Heron Therapeutics, Inc. | $42 |
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: 2018-12-27
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 |
|---|---|---|---|---|
| I20181227000506 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 236 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 49 | 49 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 44 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 60014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| O P H T H A L M O L O G Y | IL | |
| - | WI | |
| - | IL | |
| - | WI | |
| Hematology/Oncology, Internal Medicine | IL | |
| - | WI | |
| - | WI |
Reviews
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