TINCY OOMMEN (PA-C) – Physician Assistant, NPI 1891295069
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $635 |
| Janssen Biotech, Inc. | $476 |
| ABBVIE INC. | $460 |
| Regeneron Healthcare Solutions, Inc. | $312 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $165 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210317001821 | I | Physician Assistant | NY | TBD |
| I20230406000056 | I | Physician Assistant | NJ | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,137 | 325 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 976 | 726 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 521 | 412 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 426 | 333 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 339 | 299 | $0 |
Insurance plans in this area (ZIP 60914)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| - | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | MD | |
| Nurse Practitioner | NY |
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