AMY HARRISON (MD) – Family Medicine Physician, NPI 1962436782
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for AMY HARRISON (MD)
2368 PAYSPHERE CIR
CHICAGO, IL 606742368
Phone:
Type: Mailing
651 N State St Ste 5
San Jacinto, CA 925836574
Phone: (951) 487-8506
Type: Location
1225 E Latham Ave
Hemet, CA 925434423
Phone: (951) 929-8400
Type: Location
Euclid Avenue, Berwyn, Cook County, Illinois, 60402, United States
BERWYN, IL 604024603
Phone: (708) 783-2000
Type: Location
41889 E. FLORIDA AVE.
HEMET, CA 92544
Phone: (951) 652-8700
Type: Mailing
2390 E FLORIDA AVE STE 104
HEMET, CA 925444711
Phone: (951) 414-4011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Boston Scientific Corporation ($40).
Total Amount
$221
General + Research + Ownership
Payments
10
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $40 |
| Becton, Dickinson and Company | $30 |
| ABBVIE INC. | $30 |
| Dexcom, Inc. | $27 |
| Abbott Laboratories | $25 |
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: 2025-01-15
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 |
|---|---|---|---|---|
| I20101228000960 | I | Family Practice | IL | TBD |
| I20250115002688 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | CA | |
| Internal Medicine | CA | |
| Orthopedic Surgery | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| E N D O C R I N O L O G Y | CA | |
| Orthopedic Surgery | CA | |
| Family Practice | CA | |
| General Surgery | CA | |
| Orthopedic Surgery | CA |
Reviews
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