MRS. STEPHANIE LYNN ILLIAN (PA-C) – Surgical Physician Assistant, NPI 1285991356
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. STEPHANIE LYNN ILLIAN (PA-C)
16208 BALDWIN CIR
HOLLY, MI 484429384
Phone: (586) 215-3273
Type: Mailing
1 WILLIAM CARLS DR
STE 120
COMMERCE TOWNSHIP, MI 483822201
Phone: (248) 937-4947
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2023-04-20 • Largest payer in this snapshot: MicroPort Orthopedics Inc ($55).
Total Amount
$55
General + Research + Ownership
Payments
1
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MicroPort Orthopedics Inc | $55 |
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: 2012-06-06
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 |
|---|---|---|---|---|
| I20120606000195 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 21 | 21 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 14 | 12 | $0 |
Insurance plans in this area (ZIP 48442)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 43 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI | |
| Orthopedic Surgery | CO | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI |
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.