DR. NICHOLAS RYAN PETRE (MD) – Family Medicine Physician, NPI 1699269308
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. NICHOLAS RYAN PETRE (MD)
1285, Hartrey Avenue, Evanston, Evanston Township, Cook County, Illinois, 60202, United States
EVANSTON, IL 602021056
Phone: (847) 666-3494
Type: Location
306 46TH AVE
EAST MOLINE, IL 612444281
Phone: (309) 796-2329
Fax: (309) 796-1146
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 246 Open Payments records for all available years, with a total value of $4,503.
Total Amount is formed as General ($4,503) + Research ($0) + Ownership ($0) = $4,503.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($758).
Total Amount
$4,503
General + Research + Ownership
Payments
246
Total payment records
General Amount
$4,503
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. | $758 |
| AstraZeneca Pharmaceuticals LP | $366 |
| PFIZER INC. | $309 |
| Novo Nordisk Inc | $251 |
| Corcept Therapeutics | $180 |
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: 2021-07-26
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 |
|---|---|---|---|---|
| I20210726000217 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 28 | $0 |
Insurance plans in this area (ZIP 60202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Family Practice | IA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IA | |
| Family Practice | IA |
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