LISA M. FANTROY (PA-C) – Physician Assistant, NPI 1982799508
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for LISA M. FANTROY (PA-C)
24 CARRINGTON CT
HAZEL CREST, IL 604292517
Phone: (708) 922-9184
Type: Location
4001 Vollmer Rd.
Olympia Fields, IL 60461
Phone: (708) 481-8883
Fax: (708) 481-2917
Type: Location
1040 SIERRA DR STE 400
GREENWOOD, IN 461437241
Phone: (317) 528-4800
Type: Mailing
Advocate Immediate Care Center, 4001, Vollmer Road, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States
OLYMPIA FIELDS, IL 60461
Phone: (708) 481-8883
Fax: (708) 481-2917
Type: Location
20110, Governors Highway, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States
OLYMPIA FIELDS, IL 60461
Phone: (708) 747-7960
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 85 Open Payments records for all available years, with a total value of $1,710.
Total Amount is formed as General ($1,710) + Research ($0) + Ownership ($0) = $1,710.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Lilly USA, LLC ($678).
Total Amount
$1,710
General + Research + Ownership
Payments
85
Total payment records
General Amount
$1,710
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $678 |
| PFIZER INC. | $156 |
| Amgen Inc. | $136 |
| AstraZeneca Pharmaceuticals LP | $104 |
| Bayer Healthcare Pharmaceuticals Inc. | $72 |
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: 2025-05-16
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 |
|---|---|---|---|---|
| I20250516002104 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 330 | 254 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 39 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 20 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60429)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IL | 83036 | Hemoglobin A1C level | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
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