DR. MARK A PASSERMAN (DO) – Family Medicine Physician, NPI 1851404313
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for DR. MARK A PASSERMAN (DO)
389 E Main St
Braidwood, IL 604082010
Phone: (815) 458-2532
Fax: (815) 458-2455
Type: Location
101, South Prairie Avenue, Dwight, Livingston County, Illinois, 60420, United States
DWIGHT, IL 60420
Phone: (815) 584-3291
Fax: (815) 584-3475
Type: Location
725 SCHOOL ST STE A
MORRIS, IL 604501207
Phone: (815) 941-9124
Fax: (815) 941-4363
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $280.
Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.
Last reported payment date: 2024-04-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($113).
Total Amount
$280
General + Research + Ownership
Payments
9
Total payment records
General Amount
$280
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-11-28
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 |
|---|---|---|---|---|
| I20061128000134 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 732 | 354 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 123 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 60 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 59 | 18 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 60408)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | NY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Allergy/Immunology, Internal Medicine | IL |
Reviews
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