MS. MELISSA DAWN KOOPMANN (PA-C) – Physician Assistant, NPI 1790851301
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MS. MELISSA DAWN KOOPMANN (PA-C)
10811 W 143rd St
Suite 150
Orland Park, IL 604671913
Phone: (708) 226-0044
Fax: (704) 226-0066
Type: Location
2655 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 547291423
Phone: (715) 726-4200
Fax: (715) 726-4173
Type: Mailing
10811, West 143rd Street, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
SUITE 150
ORLAND PARK, IL 604671913
Phone: (708) 226-0044
Fax: (704) 226-0066
Type: Location
10-12, West Chestnut Street, River North, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60610, United States
APT #4
CHICAGO, IL 606103362
Phone: (847) 331-0279
Fax: (708) 226-0066
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $682.
Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Amgen Inc. ($247).
Total Amount
$682
General + Research + Ownership
Payments
23
Total payment records
General Amount
$682
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $247 |
| ABBVIE INC. | $238 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $99 |
| SANOFI-AVENTIS U.S. LLC | $99 |
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: 2021-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060412000387 | I | Physician Assistant | IL | TBD |
| I20211103000620 | I | Physician Assistant | WI | 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 | 696 | 154 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 384 | 294 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 261 | 202 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 143 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 110 | 101 | $0 |
Insurance plans in this area (ZIP 60467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Nurse Practitioner | WI | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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