KATHLEEN MARIE MARIANI (P.A.) – Family Medicine Physician, NPI 1922170265
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for KATHLEEN MARIE MARIANI (P.A.)
431, West Liberty Street, Wauconda, Lake County, Illinois, 60084, United States
WAUCONDA, IL 600842452
Phone: (847) 526-2151
Fax: (847) 526-2017
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 196 Open Payments records for all available years, with a total value of $3,657.
Total Amount is formed as General ($3,657) + Research ($0) + Ownership ($0) = $3,657.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($439).
Total Amount
$3,657
General + Research + Ownership
Payments
196
Total payment records
General Amount
$3,657
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. | $439 |
| Bayer Healthcare Pharmaceuticals Inc. | $383 |
| Otsuka America Pharmaceutical, Inc. | $185 |
| PFIZER INC. | $168 |
| Philips North America LLC | $156 |
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: 2005-12-06
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 |
|---|---|---|---|---|
| I20051206000026 | 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 | 265 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 211 | 125 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 126 | 93 | $0 |
| 99497 | Advance care planning, first 30 minutes | 59 | 59 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 55 | 40 | $0 |
Insurance plans in this area (ZIP 60084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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