TIMOTHY JOHN CRISCUOLO (PA-C) – Physician Assistant, NPI 1881613032
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for TIMOTHY JOHN CRISCUOLO (PA-C)
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone: (773) 702-1061
Type: Mailing
71 W 156TH ST STE 309
HARVEY, IL 604264264
Phone: (773) 702-1061
Type: Location
3640 NW Samaritan Dr Ste 120
Corvallis, OR 973303738
Phone: (541) 768-5223
Type: Location
1950 NW MYHRE RD FL 3
SILVERDALE, WA 983837662
Phone: (564) 240-4200
Fax: (564) 240-4299
Type: Mailing
505 PARNASSUS AVE FL 10
SAN FRANCISCO, CA 941432204
Phone: (415) 353-1601
Fax: (206) 834-7439
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $257.
Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.
Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Baxter Healthcare ($127).
Total Amount
$257
General + Research + Ownership
Payments
5
Total payment records
General Amount
$257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $127 |
| Medical Device Business Services, Inc. | $118 |
| Masimo Corporation | $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: 2026-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20190620002392 | I | Physician Assistant | WA | TBD |
| I20220523001033 | I | Physician Assistant | CA | TBD |
| I20230112000694 | I | Physician Assistant | FL | TBD |
| I20230712004735 | I | Physician Assistant | DC | TBD |
| I20260312002448 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 33533 | Coronary artery bypass using artery graft, 1 graft | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
Reviews
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