DR. STAVONNIE PATTERSON (M.D.) – Dermatology Physician, NPI 1710021100

DR. STAVONNIE PATTERSON (M.D.) is a healthcare provider. based in Arlington heights, Illinois. specializing in DERMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036.130964 (IL). The NPI Number for DR. STAVONNIE PATTERSON (M.D.) is 1710021100

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. STAVONNIE PATTERSON (M.D.)
NPI
1710021100
Phone
(847) 725-8401
Address
1051 W RAND RD STE 210
Enumeration Date
18 February 2007
Last Update Date
10 May 2021

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
8478029667
Graduation Year
2005 (21 years ago)
PAC ID
2769632199
Group Practice PAC ID
6305199001
Professional Enrollment ID
I20121022000136
Address ID
IL606053642CH850XXAVEX401

Contacts

Secure Messaging
spatterson110992@direct.nch.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

703 DERMATOLOGY in IL

Provider Addresses for DR. STAVONNIE PATTERSON (M.D.)

  • 1051 W RAND RD STE 210

    ARLINGTON HEIGHTS, IL 600042315

    Phone: (847) 725-8401

    Fax: (847) 454-2236

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
View all Open Payments →|Open Payments Risk Radar →

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: 2012-10-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121022000136IDermatologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths22061$0
99213Established patient office or other outpatient visit, 20-29 minutes207191$0
17000Destruction of precancer skin growth, 1 growth8682$0
99214Established patient office or other outpatient visit, 30-39 minutes6052$0
11102Biopsy of related skin growth, first growth3636$0
View full utilization report →

Insurance plans in this area (ZIP 60004)

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Provider's Procedures

DR. STAVONNIE PATTERSON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYIL17003Destruction of 2-14 skin growths6517

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305199001View full group profile
NameSpecialtyState
Dermatology, Internal MedicineIL

Reviews

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Frequently asked questions

What is the standard ID for DR. STAVONNIE PATTERSON (M.D.) in the U.S.?
In the U.S., DR. STAVONNIE PATTERSON (M.D.) is identified by NPI 1710021100.
Quick check: is DR. STAVONNIE PATTERSON (M.D.) active?
Public NPPES data shows DR. STAVONNIE PATTERSON (M.D.) with an active NPI status right now.
What type of care does DR. STAVONNIE PATTERSON (M.D.) provide?
DR. STAVONNIE PATTERSON (M.D.)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. STAVONNIE PATTERSON (M.D.) tied to Arlington Heights, Illinois?
If you are local to Arlington Heights, Illinois, DR. STAVONNIE PATTERSON (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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