PETER JOSEPH POLLACHEK (A.P.N.) – Certified Registered Nurse Anesthetist, NPI 1912902040
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for PETER JOSEPH POLLACHEK (A.P.N.)
27240 DUTTON RD
BEECHER, IL 604015054
Phone: (708) 946-9890
Fax: (708) 946-9891
Type: Mailing
2225 GREAT LAKES DR, UNIT 604
DYER, IN 46311
Phone: (708) 522-9793
Fax: (855) 339-3205
Type: Mailing
200 EAST FAIRMAN AVE
SECOND FLOOR - SPECIALTY CLINIC
WATSEKA, IL 60970
Phone: (708) 522-9793
Fax: (855) 339-3205
Type: Location
Torrence Avenue, Lansing, Thornton Township, Cook County, Illinois, 60438, United States
STE 1D
LANSING, IL 604382870
Phone: (708) 895-9450
Fax: (708) 895-9455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, Inc. | $20 |
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: 2005-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040508000246 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20041201000853 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20050819000406 | I | Certified Registered Nurse Anesthetist (Crna) | IN | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 23 | 23 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 17 | 17 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 17 | 17 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL |
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