LYLE D JR. PAHNKE (MD) – Vascular Surgery Physician, NPI 1770538225
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for LYLE D JR. PAHNKE (MD)
302 Broadway St
Mount Vernon, IL 628645116
Phone: (618) 242-4750
Fax: (618) 242-7674
Type: Location
400 N PLEASANT AVE
CENTRALIA, IL 628013056
Phone: (618) 436-6318
Fax: (618) 436-6386
Type: Mailing
302, Broadway Street, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, IL 628645116
Phone: (618) 242-4750
Fax: (618) 242-7674
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Molnlycke Health Care US, LLC ($14).
Total Amount
$26
General + Research + Ownership
Payments
2
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Molnlycke Health Care US, LLC | $14 |
| CashFlow Solutions, LLC | $12 |
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: 2004-11-05
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 |
|---|---|---|---|---|
| I20041105001094 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 40 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 58 | 33 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19 | 15 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Diagnostic Radiology | FL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Diagnostic Radiology | PA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| - | IN | |
| - | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Mental Health Counselor | IL | |
| Internal Medicine | IL |
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