COLIN BURROUGHS (PA-C) – Physician Assistant, NPI 1821179367
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for COLIN BURROUGHS (PA-C)
925 SHERWOOD DR
LAKE BLUFF, IL 600442203
Phone: (847) 234-1177
Fax: (847) 234-1875
Type: Mailing
103 DAVIS STUART RD
RONCEVERTE, WV 24970
Phone: (304) 645-7546
Fax: (304) 645-7547
Type: Mailing
1850 W Winchester Rd Ste 106
Libertyville, IL 600485355
Phone: (847) 234-1177
Fax: (847) 234-1875
Type: Location
3612 Lake Ave Ste 2B
Wilmette, IL 600911000
Phone: (847) 256-9400
Fax: (847) 853-9847
Type: Location
100 40TH AVE N
ST PETERSBURG, FL 337036125
Phone: (727) 474-9399
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 164 Open Payments records for all available years, with a total value of $5,361.
Total Amount is formed as General ($5,361) + Research ($0) + Ownership ($0) = $5,361.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($893).
Total Amount
$5,361
General + Research + Ownership
Payments
164
Total payment records
General Amount
$5,361
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. | $893 |
| Dermavant Sciences, Inc. | $727 |
| Sun Pharmaceutical Industries Inc. | $579 |
| GENZYME CORPORATION | $489 |
| E.R. Squibb & Sons, L.L.C. | $441 |
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: 2026-01-21
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20220216000902 | I | Physician Assistant | FL | TBD |
| I20230404000384 | I | Physician Assistant | IL | TBD |
| I20260121003275 | I | Physician Assistant | IN | 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 | 221 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 132 | 96 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 59 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 51 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 41 | 37 | $0 |
Insurance plans in this area (ZIP 60044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL |
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