TINCY OOMMEN (PA-C) – Physician Assistant, NPI 1891295069

TINCY OOMMEN (PA-C) is a healthcare provider. based in Bourbonnais, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008311 (MI). The NPI Number for TINCY OOMMEN (PA-C) is 1891295069

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TINCY OOMMEN (PA-C)
NPI
1891295069
Phone
(815) 933-2227
Address
374 Larry Power Rd
Enumeration Date
14 February 2018
Last Update Date
23 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122833000
Graduation Year
2017 (9 years ago)
PAC ID
7719240068
Group Practice PAC ID
5991947160
Professional Enrollment ID
I20210317001821
Address ID
NY109414018MI28XXXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for TINCY OOMMEN (PA-C)

  • 374 Larry Power Rd

    Bourbonnais, IL 609145187

    Phone: (815) 933-2227

    Fax: (815) 933-5278

    Type: Location

  • North Michigan Avenue, Michigan Ave, Chicago, Cook County, Illinois, 60611, United States

    CHICAGO, IL 606017605

    Phone: (312) 263-4625

    Fax: (312) 263-5029

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 172 Open Payments records for all available years, with a total value of $3,259.

Total Amount is formed as General ($3,259) + Research ($0) + Ownership ($0) = $3,259.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($635).

Total Amount

$3,259

General + Research + Ownership

Payments

172

Total payment records

General Amount

$3,259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2023-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210317001821IPhysician AssistantNYTBD
I20230406000056IPhysician AssistantNJTBD

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 growths2,137325$0
99213Established patient office or other outpatient visit, 20-29 minutes976726$0
17000Destruction of precancer skin growth, 1 growth521412$0
17110Destruction of skin growth, 1-14 growths426333$0
11102Biopsy of related skin growth, first growth339299$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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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: 5991947160View full group profile
NameSpecialtyState
-NY
D E R M A T O L O G YNY
D E R M A T O L O G YNY
-NY
Physician AssistantNY
-NY
Physician AssistantNY
Physician AssistantNY
D E R M A T O L O G YMD
Nurse PractitionerNY

Reviews

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Frequently asked questions

Can I cross-check TINCY OOMMEN (PA-C) using NPI 1891295069?
NPI 1891295069 belongs to TINCY OOMMEN (PA-C); compare other details if you need extra assurance.
Is TINCY OOMMEN (PA-C) still an active registrant?
TINCY OOMMEN (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for TINCY OOMMEN (PA-C)?
At a glance, TINCY OOMMEN (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TINCY OOMMEN (PA-C) associated with Bourbonnais?
Public fields place TINCY OOMMEN (PA-C) around Bourbonnais, Illinois. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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