DR. LUCIO A. PAVONE (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1790966844
Plastic and Reconstructive Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
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Provider Addresses for DR. LUCIO A. PAVONE (M.D.)
Waukegan Road, Morton Grove, Niles Township, Cook County, Illinois, 60029, United States
SUITE 210
MORTON GROVE, IL 600532127
Phone: (847) 967-5122
Fax: (847) 967-5125
Type: Mailing
120 SPALDING DR STE 207
NAPERVILLE, IL 605406520
Phone: (630) 646-6020
Fax: (630) 646-6006
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $626.
Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: ABBVIE INC. ($228).
Total Amount
$626
General + Research + Ownership
Payments
14
Total payment records
General Amount
$626
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $228 |
| Mentor Worldwide LLC | $202 |
| Davol Inc. | $108 |
| Musculoskeletal Transplant Foundation Inc. | $27 |
| Stryker Corporation | $27 |
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: 2010-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (896 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20101006000287 | I | Plastic And Reconstructive Surgery | IL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 52 | 44 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 60053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| Allergy/Immunology, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Hematology/Oncology, Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Gynecological Oncology, Obstetrics/Gynecology | IL |
Reviews
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