ALYSSA PABALAN – Emergency Medicine Physician, NPI 1225454929
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,158 EMERGENCY MEDICINE in MI
Provider Addresses for ALYSSA PABALAN
2333 BIDDLE AVE
WYANDOTTE, MI 481924668
Phone:
Type: Mailing
10855 Virginia St
Crown Point, IN 463070210
Phone: (773) 702-1000
Type: Location
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (773) 702-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $300.
Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Rivanna Medical, Inc ($300).
Total Amount
$300
General + Research + Ownership
Payments
1
Total payment records
General Amount
$300
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Rivanna Medical, Inc | $300 |
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: 2018-08-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20180613003018 | I | Emergency Medicine | IN | TBD |
| I20180807002167 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 212 | 204 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 154 | 151 | $0 |
| 99291 | Critical care, first 30-74 minutes | 39 | 39 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 20 | 20 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48192)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Emergency Medicine | NY | |
| Emergency Medicine | IN | |
| Emergency Medicine | WA | |
| Emergency Medicine | MO | |
| Emergency Medicine | MI | |
| Emergency Medicine | IN | |
| Emergency Medicine | OH | |
| Emergency Medicine | IN | |
| Emergency Medicine | IN |
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