DEXTER R REBANCOS (MD) – Family Medicine Physician, NPI 1801974399
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,047 FAMILY PRACTICE in WI
Loading map...
Provider Addresses for DEXTER R REBANCOS (MD)
PO BOX 735044
CHICAGO, IL 606735044
Phone: (800) 326-2250
Type: Mailing
100, 15th Avenue, South Milwaukee, Milwaukee County, Wisconsin, 53172, United States
STE 180
SOUTH MILWAUKEE, WI 531721160
Phone: (414) 768-5430
Fax: (414) 762-4225
Type: Mailing
Aurora St. Luke's South Shore, 5900, South Lake Drive, Cudahy, Milwaukee County, Wisconsin, 53110, United States
CUDAHY, WI 531103171
Phone: (414) 489-4190
Fax: (414) 489-4015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $432.
Total Amount is formed as General ($432) + Research ($0) + Ownership ($0) = $432.
Last reported payment date: 2024-03-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($123).
Total Amount
$432
General + Research + Ownership
Payments
4
Total payment records
General Amount
$432
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $123 |
| NESTLE HEALTHCARE NUTRITION INC. | $122 |
| AIMMUNE THERAPEUTICS, INC. | $97 |
| Amgen Inc. | $91 |
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: 2004-04-27
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 |
|---|---|---|---|---|
| I20040427001547 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 311 | 150 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 114 | 114 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 65 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 47 | 22 | $0 |
| G0008 | Administration of influenza virus vaccine | 41 | 41 | $0 |
Insurance plans in this area (ZIP 60673)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WI | 90670 | Pneumococcal vaccine for injection into muscle | 113 | 113 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WI | |
| Physician Assistant | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Diagnostic Radiology | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice, Geriatric Medicine | IL | |
| - | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.