MISS TAMARA A. PRIDE (PA-C) – Physician Assistant, NPI 1649494691
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MISS TAMARA A. PRIDE (PA-C)
1100 W Central Rd Ste 200
Arlington Heights, IL 600052465
Phone: (847) 392-5440
Fax: (847) 392-8439
Type: Location
820 E TERRA COTTA AVE STE 125
CRYSTAL LAKE, IL 60014
Phone: (815) 455-4434
Fax: (815) 455-4593
Type: Location
820 E TERRA COTTA AVE
STE 125
CRYSTAL LAKE, IL 600143650
Phone: (847) 842-8839
Fax: (847) 392-8439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 307 Open Payments records for all available years, with a total value of $5,730.
Total Amount is formed as General ($5,730) + Research ($0) + Ownership ($0) = $5,730.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,253).
Total Amount
$5,730
General + Research + Ownership
Payments
307
Total payment records
General Amount
$5,730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,253 |
| Lilly USA, LLC | $511 |
| MAYNE PHARMA COMMERCIAL LLC | $504 |
| Janssen Biotech, Inc. | $432 |
| Sun Pharmaceutical Industries Inc. | $245 |
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: 2005-06-02
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 |
|---|---|---|---|---|
| I20050602000294 | 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 | 381 | 302 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 228 | 184 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 222 | 178 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 170 | 139 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 158 | 134 | $0 |
Insurance plans in this area (ZIP 60005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| D E R M A T O L O G Y | MN | |
| P A T H O L O G Y | IL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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