LORI JEAN WILLIAMS (PA-C) – Physician Assistant, NPI 1881762540
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for LORI JEAN WILLIAMS (PA-C)
20110, Governors Highway, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States
OLYMPIA FIELDS, IL 604611030
Phone: (708) 747-7960
Fax: (708) 503-3993
Type: Location
595 WILLIAM R LATHAM SR DR
BOURBONNAIS, IL 609142319
Phone: (815) 932-8944
Fax: (815) 932-9159
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 194 Open Payments records for all available years, with a total value of $4,547.
Total Amount is formed as General ($4,547) + Research ($0) + Ownership ($0) = $4,547.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($939).
Total Amount
$4,547
General + Research + Ownership
Payments
194
Total payment records
General Amount
$4,547
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 |
|---|---|
| AstraZeneca Pharmaceuticals LP | $939 |
| ABBVIE INC. | $804 |
| Novo Nordisk Inc | $458 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $390 |
| Phathom Pharmaceuticals, Inc. | $209 |
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: 2009-08-06
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 |
|---|---|---|---|---|
| I20090806000547 | I | Physician Assistant | 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 | 700 | 281 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 216 | 216 | $0 |
| G0008 | Administration of influenza virus vaccine | 108 | 107 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 96 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 57 | $0 |
Insurance plans in this area (ZIP 60461)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 90670 | Pneumococcal vaccine for injection into muscle | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| N E U R O L O G Y | NY |
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