DR. LANDON S PRYOR (M.D.) – Plastic Surgery Physician, NPI 1831306968
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL
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Provider Addresses for DR. LANDON S PRYOR (M.D.)
Pryor Health, 5995, Spring Creek Road, Rockford, Rockford Township, Winnebago County, Illinois, 61114, United States
ROCKFORD, IL 611146481
Phone: (815) 977-4403
Fax: (815) 977-5796
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 19 Open Payments records for all available years, with a total value of $15,334.
Total Amount is formed as General ($15,334) + Research ($0) + Ownership ($0) = $15,334.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($15,177).
Total Amount
$15,334
General + Research + Ownership
Payments
19
Total payment records
General Amount
$15,334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $15,177 |
| LivaNova USA, Inc. | $74 |
| Pacira Pharmaceuticals Incorporated | $36 |
| MIMEDX Group, Inc. | $34 |
| Galderma Laboratories, L.P. | $13 |
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: 2020-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20091113000048 | I | Plastic And Reconstructive Surgery | IL | TBD |
| I20200708000743 | I | Plastic And Reconstructive Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WI | |
| Plastic And Reconstructive Surgery, General Surgery | IL |
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