CHELSEA ST. CLAIRE (MD) – MOHS-Micrographic Surgery Physician, NPI 1700371283
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for CHELSEA ST. CLAIRE (MD)
Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States
BURR RIDGE, IL 605276686
Phone:
Type: Mailing
1304, Ridge Avenue, South Evanston, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
EVANSTON, IL 602011700
Phone: (847) 475-4555
Type: Location
3290 N Wellness Dr Ste 240
Holland, MI 494247261
Phone: (616) 395-9379
Type: Location
1665 AURORA CT STE 3004
AURORA, CO 800452517
Phone:
Type: Mailing
2685 JOLLY RD
OKEMOS, MI 488643553
Phone:
Type: Mailing
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 $1,070.
Total Amount is formed as General ($1,070) + Research ($0) + Ownership ($0) = $1,070.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($167).
Total Amount
$1,070
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,070
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $167 |
| ABBVIE INC. | $145 |
| Janssen Biotech, Inc. | $116 |
| Journey Medical Corporation | $100 |
| Arcutis Biotherapeutics, Inc. | $96 |
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: 2023-06-02
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 |
|---|---|---|---|---|
| I20230602000437 | I | Dermatology | MI | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 15 | 15 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 14 | 14 | $0 |
Insurance plans in this area (ZIP 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| - | MI |
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