DR. STONEWALL JR. MCCUISTON (MD) – Pediatrics Physician, NPI 1720072143
Pediatrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. STONEWALL JR. MCCUISTON (MD)
3400 S Main St
Hopkins Park, IL 60944
Phone: (815) 944-5545
Fax: (815) 944-6723
Type: Location
375 N WALL ST STE P310
KANKAKEE, IL 609013484
Phone: (815) 933-0194
Fax: (815) 936-3847
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,037.
Total Amount is formed as General ($1,037) + Research ($0) + Ownership ($0) = $1,037.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($374).
Total Amount
$1,037
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,037
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $374 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $303 |
| Renalytix AI, Inc. | $109 |
| ABIOMED | $58 |
| Lundbeck LLC | $36 |
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: 2004-06-09
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 |
|---|---|---|---|---|
| I20040609001388 | I | Internal Medicine | 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 | 88 | 40 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 39 | 18 | $0 |
| 83036 | Hemoglobin a1c level | 32 | 17 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | 30 | $0 |
| G0008 | Administration of influenza virus vaccine | 19 | 17 | $0 |
Insurance plans in this area (ZIP 60944)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 83036 | Hemoglobin A1C level | 36 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| N E U R O L O G Y | NY |
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