ELISSA CHUNG – Physician Assistant, NPI 1104338730
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for ELISSA CHUNG
Centennial Lakes Medical Center, 7373, France Avenue South, Centennial Lakes, Edina, Hennepin County, Minnesota, 55435-4534, United States
STE 110
EDINA, MN 554354538
Phone:
Type: Mailing
108, Bielenberg Drive, Woodbury, Washington County, Minnesota, 55125, United States
WOODBURY, MN 551254432
Phone: (763) 231-8700
Type: Location
820 SPRINGER DR
LOMBARD, IL 601486413
Phone: (815) 744-8554
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $372.
Total Amount is formed as General ($372) + Research ($0) + Ownership ($0) = $372.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($104).
Total Amount
$372
General + Research + Ownership
Payments
17
Total payment records
General Amount
$372
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $104 |
| Incyte Corporation | $55 |
| UCB, Inc. | $35 |
| Lilly USA, LLC | $31 |
| Biofrontera Inc. | $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: 2017-12-14
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 |
|---|---|---|---|---|
| I20171214002096 | I | Physician Assistant | MN | 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 | 358 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 159 | 122 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 110 | 87 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 66 | 61 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 60 | 54 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| - | MI | |
| Physician Assistant | VA | |
| Dermatology, Dermatology, Pathology | VA | |
| Nurse Practitioner | AZ | |
| Plastic And Reconstructive Surgery | IL | |
| Nurse Practitioner | MI | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | MN | |
| Physician Assistant | IN |
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