DR. LYDIA JAY WILLIAMS (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1720438559
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
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Provider Addresses for DR. LYDIA JAY WILLIAMS (M.D.)
Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
MC 6035
CHICAGO, IL 606371447
Phone: (773) 702-6302
Fax: (773) 702-1634
Type: Location
Harvester Drive, Burr Ridge, DuPage County, Illinois, 60527, United States
SUITE 110
BURR RIDGE, IL 605277594
Phone: (773) 702-1150
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,440.
Total Amount is formed as General ($1,440) + Research ($0) + Ownership ($0) = $1,440.
Last reported payment date: 2023-05-20 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,128).
Total Amount
$1,440
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,440
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,128 |
| KLS-Martin L.P. | $250 |
| Davol Inc. | $63 |
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: 2023-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20231027000051 | I | Plastic And Reconstructive Surgery | MD | TBD |
| I20231030000122 | I | Plastic And Reconstructive Surgery | DC | TBD |
| I20231030003939 | I | Plastic And Reconstructive Surgery | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | MD | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| Family Practice | VA | |
| - | MD | |
| - | MD | |
| Family Practice | WV | |
| - | GA | |
| - | MD |
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