NIKOLA K PUFFINBARGER (MD) – Pediatric Surgery Physician, NPI 1821066176
Pediatric Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,426 GENERAL SURGERY in IL
Provider Addresses for NIKOLA K PUFFINBARGER (MD)
4440 W 95th St Ste 1332H
Oak Lawn, IL 604532600
Phone: (708) 684-5437
Fax: (708) 684-4808
Type: Location
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
1122, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States
ORI236
OKLAHOMA CITY, OK 731171039
Phone: (405) 271-1515
Type: Mailing
Nicholson Tower, 940, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States
JIMMY EVEREST TOWER STE. 2000
OKLAHOMA CITY, OK 731045008
Phone: (405) 271-2006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-07-22 • Largest payer in this snapshot: ATRICURE, INC. ($43).
Total Amount
$43
General + Research + Ownership
Payments
1
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $43 |
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: 2025-05-07
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20060124000788 | I | General Surgery | OK | TBD |
| I20241105002392 | I | General Surgery | IL | TBD |
| I20250507003309 | I | General Surgery | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60453)
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