JEAVE RESERVA (M.D.) – Dermatology Physician, NPI 1669731618
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
Provider Addresses for JEAVE RESERVA (M.D.)
1025 S 6TH ST
SPRINGFIELD, IL 627032403
Phone: (217) 528-7541
Type: Mailing
900 N 1ST ST
SPRINGFIELD, IL 627023749
Phone: (217) 528-7541
Type: Location
321 N La Grange Rd
LA Grange Park, IL 605265622
Phone: (888) 584-7888
Type: Location
2160 S 1st Ave
Maywood, IL 601533328
Phone: (708) 216-6533
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $498.
Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($195).
Total Amount
$498
General + Research + Ownership
Payments
20
Total payment records
General Amount
$498
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $195 |
| Janssen Biotech, Inc. | $83 |
| E.R. Squibb & Sons, L.L.C. | $78 |
| Amgen Inc. | $50 |
| GENZYME CORPORATION | $38 |
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: 2020-07-16
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 |
|---|---|---|---|---|
| I20200716000399 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,547 | 240 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 425 | 269 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 374 | 295 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 365 | 296 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 227 | 192 | $0 |
Insurance plans in this area (ZIP 62703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Diagnostic Radiology | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL |
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