JORDAN B PRITIKIN (M.D.) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1770585259
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
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Provider Addresses for JORDAN B PRITIKIN (M.D.)
PO BOX 160
MATTESON, IL 604430160
Phone: (708) 747-5850
Fax: (708) 747-9991
Type: Mailing
Burnham Center, 111, West Washington Street, Loop, Chicago, Cook County, Illinois, 60602, United States
SUITE 903
CHICAGO, IL 606022703
Phone: (312) 372-9355
Fax: (312) 372-9356
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 209 Open Payments records for all available years, with a total value of $63,373.
Total Amount is formed as General ($63,373) + Research ($0) + Ownership ($0) = $63,373.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AERIN MEDICAL INC. ($42,951).
Total Amount
$63,373
General + Research + Ownership
Payments
209
Total payment records
General Amount
$63,373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $42,951 |
| Optinose US, Inc. | $17,565 |
| GENZYME CORPORATION | $747 |
| Regeneron Healthcare Solutions, Inc. | $730 |
| Medtronic, Inc. | $262 |
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: 2007-01-11
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 |
|---|---|---|---|---|
| I20070111000137 | 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.
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 | 58 | 43 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 57 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 37 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 41 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 60443)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Qualified Speech Language Pathologist | IL | |
| - | IL |
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