DIANA LEIGH VORK – Dermatology Physician, NPI 1871028316

DIANA LEIGH VORK is a healthcare provider. based in Shiloh, Illinois. specializing in DERMATOLOGY. They hold a License No. 64202 (MN). The NPI Number for DIANA LEIGH VORK is 1871028316

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DIANA LEIGH VORK
NPI
1871028316
Phone
(618) 622-7546
Address
1191 FORTUNE BLVD STE 2
Enumeration Date
21 April 2017
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
MAYO MEDICAL SCHOOL
Secondary Phone
6186227546
Graduation Year
2017 (9 years ago)
PAC ID
1254683246
Group Practice PAC ID
9739451956
Professional Enrollment ID
I20210611000004
Address ID
IL622691887OX331XXPARK300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for DIANA LEIGH VORK

  • 1191 FORTUNE BLVD STE 2

    SHILOH, IL 622697474

    Phone: (618) 622-7546

    Type: Location

  • 1836 South Ave

    LA Crosse, WI 546015429

    Phone: (608) 782-7300

    Type: Location

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $623.

Total Amount is formed as General ($623) + Research ($0) + Ownership ($0) = $623.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($135).

Total Amount

$623

General + Research + Ownership

Payments

22

Total payment records

General Amount

$623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210611000004IDermatologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths460108$0
99213Established patient office or other outpatient visit, 20-29 minutes262211$0
17000Destruction of precancer skin growth, 1 growth210168$0
11102Biopsy of related skin growth, first growth184171$0
99212Established patient office or other outpatient visit, 10-19 minutes137117$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739451956View full group profile
NameSpecialtyState
Physician AssistantIL
D E R M A T O L O G YIL
Physician AssistantIL
Nurse PractitionerMN
D E R M A T O L O G YNM
Physician AssistantIL
Physician AssistantMO

Reviews

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Frequently asked questions

Does DIANA LEIGH VORK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DIANA LEIGH VORK uses 1871028316.
Can I rely on DIANA LEIGH VORK being an active provider?
As of the registry snapshot, DIANA LEIGH VORK is marked active.
What is DIANA LEIGH VORK's specialty?
The listing groups DIANA LEIGH VORK with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is DIANA LEIGH VORK based?
DIANA LEIGH VORK is tied to Shiloh, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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