MR. JACOB ALLEN KLAUSTERMEIER (PAC) – Dermatology Physician, NPI 1952560443
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MR. JACOB ALLEN KLAUSTERMEIER (PAC)
820 E Terra Cotta Ave
Crystal Lake, IL 600143649
Phone: (815) 455-4434
Fax: (815) 455-4591
Type: Location
355 Lennon Ln
Suite 255
Walnut Creek, CA 945982475
Phone: (925) 932-7704
Fax: (925) 932-7752
Type: Location
125, East Terra Cotta Avenue, Crystal Lake, McHenry County, Illinois, 60014, United States
CRYSTAL LAKE, IL 600143650
Phone: (815) 455-4434
Fax: (815) 455-7143
Type: Mailing
East Terra Cotta Avenue, Crystal Lake, McHenry County, Illinois, 60014, United States
CRYSTAL LAKE, IL 600143649
Phone: (815) 455-4434
Fax: (815) 455-4591
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 391 Open Payments records for all available years, with a total value of $7,298.
Total Amount is formed as General ($7,298) + Research ($0) + Ownership ($0) = $7,298.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,599).
Total Amount
$7,298
General + Research + Ownership
Payments
391
Total payment records
General Amount
$7,298
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 |
|---|---|
| ABBVIE INC. | $1,599 |
| Lilly USA, LLC | $710 |
| Sun Pharmaceutical Industries Inc. | $462 |
| Amgen Inc. | $425 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $269 |
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: 2008-09-05
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 |
|---|---|---|---|---|
| I20080905000462 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 496 | 391 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 312 | 245 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 270 | 189 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 226 | 187 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 173 | 162 | $0 |
Insurance plans in this area (ZIP 60014)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 11101 | Biopsy of each additional growth of skin and/or tissue | 323 | 179 |
| PHYSICIAN ASSISTANT | CA | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 15 | 15 |
| PHYSICIAN ASSISTANT | CA | 17003 | Destruction of 2-14 skin growths | 2405 | 338 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| D E R M A T O L O G Y | MN | |
| P A T H O L O G Y | IL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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