ALEXANDER PORUCZNIK – Specialist, NPI 1952943649
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Loading map...
Provider Addresses for ALEXANDER PORUCZNIK
9881, Tall Grass Trail, St. John, Lake County, Indiana, 46373, United States
SAINT JOHN, IN 463730378
Phone:
Type: Mailing
6850, Centennial Drive, Tinley Park, Bremen Township, Cook County, Illinois, 60477, United States
TINLEY PARK, IL 604771653
Phone: (708) 429-3455
Type: Location
6850 Centennial Dr
Tinley Park, IL 604771653
Phone: (708) 429-3455
Type: Location
565 W QUINCY ST UNIT 617
CHICAGO, IL 606612903
Phone:
Type: Mailing
1861 STURDY RD
VALPARAISO, IN 463838017
Phone: (219) 548-0360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 113 Open Payments records for all available years, with a total value of $1,596.
Total Amount is formed as General ($1,596) + Research ($0) + Ownership ($0) = $1,596.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($403).
Total Amount
$1,596
General + Research + Ownership
Payments
113
Total payment records
General Amount
$1,596
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $403 |
| ABBVIE INC. | $238 |
| Lilly USA, LLC | $193 |
| Janssen Biotech, Inc. | $156 |
| Novartis Pharmaceuticals Corporation | $95 |
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: 2020-11-13
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 |
|---|---|---|---|---|
| I20201113001759 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,386 | 223 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 958 | 501 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 457 | 300 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 286 | 233 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 195 | 148 | $0 |
Insurance plans in this area (ZIP 46373)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| - | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.