AMANDA S LAREAU (M.D.) – Dermatology Physician, NPI 1740417286
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for AMANDA S LAREAU (M.D.)
525, Congress Parkway, Crystal Lake, McHenry County, Illinois, 60014, United States
DERICK DERMATOLOGY SUITE 200
CRYSTAL LAKE, IL 600146245
Phone: (847) 381-8899
Fax: (847) 381-8999
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)
No Open Payments data available for this provider.
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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: 2014-11-18
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 |
|---|---|---|---|---|
| I20141118002553 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 195 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 118 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 70 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 87 | 53 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 74 | 62 | $0 |
Insurance plans in this area (ZIP 60014)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Dermatology, Internal Medicine | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | IL |
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