DOUGLAS SIDLE (MD) – Facial Plastic Surgery Physician, NPI 1730179482
Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for DOUGLAS SIDLE (MD)
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 606113068
Phone: (312) 695-8182
Fax: (312) 695-4303
Type: Mailing
680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
SUITE 1000
CHICAGO, IL 606114546
Phone: (312) 695-4022
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $4,617.
Total Amount is formed as General ($4,617) + Research ($0) + Ownership ($0) = $4,617.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AERIN MEDICAL INC. ($1,327).
Total Amount
$4,617
General + Research + Ownership
Payments
41
Total payment records
General Amount
$4,617
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $1,327 |
| Integra LifeSciences Corporation | $770 |
| Organogenesis Inc. | $691 |
| AXOGEN | $597 |
| Spirair, Inc. | $256 |
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: 2005-09-02
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 |
|---|---|---|---|---|
| I20050902000163 | I | Otolaryngology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IL |
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