ELIZABETH C. RIDLEY (PA) – Physician Assistant, NPI 1801036629
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for ELIZABETH C. RIDLEY (PA)
4948, Benchmark Centre Drive, Swansea, Saint Clair County, Illinois, 62226, United States
SWANSEA, IL 622262027
Phone: (618) 628-2588
Fax: (618) 628-1363
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)
CMS reports 335 Open Payments records for all available years, with a total value of $5,353.
Total Amount is formed as General ($5,353) + Research ($0) + Ownership ($0) = $5,353.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($896).
Total Amount
$5,353
General + Research + Ownership
Payments
335
Total payment records
General Amount
$5,353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $896 |
| E.R. Squibb & Sons, L.L.C. | $845 |
| Novartis Pharmaceuticals Corporation | $456 |
| Janssen Biotech, Inc. | $449 |
| LEO Pharma Inc. | $293 |
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: 2012-11-02
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 |
|---|---|---|---|---|
| I20121102000194 | I | Physician Assistant | 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 | 672 | 152 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 255 | 210 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 225 | 188 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 157 | 150 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 149 | 133 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 17003 | Destruction of 2-14 skin growths | 779 | 159 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL |
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