HOLLY M LOESCH (MD) – Gynecology Physician, NPI 1871519330
Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,923 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for HOLLY M LOESCH (MD)
5716 W 95th St
Oak Lawn, IL 604532345
Phone: (708) 499-9800
Fax: (708) 499-6203
Type: Location
5716, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604532345
Phone: (708) 499-9800
Fax: (708) 499-6203
Type: Location
440 WASHINGTON ST SE
GAINESVILLE, GA 305013619
Phone: (770) 532-9250
Fax: (770) 532-4242
Type: Mailing
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 $4.
Total Amount is formed as General ($4) + Research ($0) + Ownership ($0) = $4.
Last reported payment date: 2023-03-24 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($4).
Total Amount
$4
General + Research + Ownership
Payments
1
Total payment records
General Amount
$4
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $4 |
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: 2019-06-24
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 |
|---|---|---|---|---|
| I20190624003059 | I | Obstetrics/Gynecology | GA | 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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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Diagnostic Radiology | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Internal Medicine, Allergy/Immunology | GA | |
| General Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
Reviews
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