SAMUEL J TRAVERSO (DO) – Family Medicine Physician, NPI 1902464647
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,052 FAMILY PRACTICE in IL
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Provider Addresses for SAMUEL J TRAVERSO (DO)
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
LA GRANGE, IL 605252659
Phone: (708) 245-8900
Fax: (708) 245-5721
Type: Mailing
5201 WILLOW SPRINGS RD STE 300
LA GRANGE HIGHLANDS, IL 605256539
Phone: (708) 482-8088
Fax: (708) 482-9034
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 218 Open Payments records for all available years, with a total value of $5,024.
Total Amount is formed as General ($5,024) + Research ($0) + Ownership ($0) = $5,024.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($776).
Total Amount
$5,024
General + Research + Ownership
Payments
218
Total payment records
General Amount
$5,024
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $776 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $503 |
| AstraZeneca Pharmaceuticals LP | $413 |
| GlaxoSmithKline, LLC. | $413 |
| PFIZER INC. | $358 |
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: 2023-02-10
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230210000201 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 298 | 229 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 139 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 36 | 36 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 23 | 23 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 22 | 22 | $0 |
Insurance plans in this area (ZIP 60525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| - | IL |
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