STACY L MCCLURE (MD) – Dermatology Physician, NPI 1821002692
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for STACY L MCCLURE (MD)
5201, South Willow Springs Road, La Grange Highlands, Lyons Township, Cook County, Illinois, 60558, United States
SUITE 430
LA GRANGE HIGHLANDS, IL 605256537
Phone: (708) 482-3213
Fax: (708) 482-3230
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 55 Open Payments records for all available years, with a total value of $1,481.
Total Amount is formed as General ($1,481) + Research ($0) + Ownership ($0) = $1,481.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($303).
Total Amount
$1,481
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,481
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $303 |
| E.R. Squibb & Sons, L.L.C. | $265 |
| Janssen Biotech, Inc. | $200 |
| PFIZER INC. | $198 |
| Galderma Laboratories, L.P. | $167 |
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: 2006-10-10
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 |
|---|---|---|---|---|
| I20061010000209 | I | Dermatology | 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 | 993 | 178 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 500 | 338 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 454 | 347 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 320 | 241 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 242 | 205 | $0 |
Insurance plans in this area (ZIP 60525)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 17003 | Destruction of 2-14 skin growths | 1151 | 176 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | IL | |
| - | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL |
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