OCTAVIA KINCAID (M.D.) – Neurology Physician, NPI 1710194824

OCTAVIA KINCAID (M.D.) is a healthcare provider. based in Evanston, Illinois. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 036-109346 (IL). The NPI Number for OCTAVIA KINCAID (M.D.) is 1710194824

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
OCTAVIA KINCAID (M.D.)
NPI
1710194824
Phone
(847) 570-2040
Address
2650 RIDGE AVE STE 1223
Enumeration Date
17 May 2007
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
3129425904
Graduation Year
1999 (27 years ago)
PAC ID
4385744473
Group Practice PAC ID
5496658874
Professional Enrollment ID
I20070702000422
Address ID
IL606073106CH1520XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
okincaid254014@direct.northshore.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

1,188 NEUROLOGY in IL

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Provider Addresses for OCTAVIA KINCAID (M.D.)

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Type: Mailing

  • University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606127232

    Phone: (312) 996-7000

    Type: Location

  • Oak Park Post Office, 4th Avenue 35th Street Alley, North Oak Park, Oak Park, Sacramento, Sacramento County, California, 95817, United States

    OAK PARK, IL 603040249

    Phone:

    Type: Mailing

  • 1000 CENTRAL ST STE 880

    EVANSTON, IL 602011780

    Phone: (847) 570-2570

    Type: Location

  • 880 W Central Rd Ste 4100

    Arlington Heights, IL 600052383

    Phone: (847) 618-4400

    Fax: (847) 618-4409

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $3,137.

Total Amount is formed as General ($3,137) + Research ($0) + Ownership ($0) = $3,137.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($2,396).

Total Amount

$3,137

General + Research + Ownership

Payments

11

Total payment records

General Amount

$3,137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-07-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070702000422INeurologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes153137$0
99215Established patient office or other outpatient visit, 40-54 minutes11194$0
99213Established patient office or other outpatient visit, 20-29 minutes6262$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study5841$0
99205New patient office or other outpatient visit, 60-74 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 5496658874View full group profile
NameSpecialtyState
General SurgeryIL
Internal MedicineIL
Diagnostic RadiologyWI
Internal MedicineMI
Hematology/Oncology, Hospice/Palliative CareIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerIL
Nurse PractitionerIL
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

Does OCTAVIA KINCAID (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — OCTAVIA KINCAID (M.D.) uses 1710194824.
Does CMS list OCTAVIA KINCAID (M.D.) as active?
Yes — OCTAVIA KINCAID (M.D.) is active in the NPI listing used on this page.
What is OCTAVIA KINCAID (M.D.)'s specialty?
The listing groups OCTAVIA KINCAID (M.D.) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect OCTAVIA KINCAID (M.D.) on a map?
Expect Evanston, Illinois as a primary anchor for OCTAVIA KINCAID (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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