ADRIENNE SCHUPBACH (M.D.) – Dermatology Physician, NPI 1740415777
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for ADRIENNE SCHUPBACH (M.D.)
110 BUSINESS PARK DR STE C
BRANSON, MO 656167449
Phone: (417) 336-0033
Fax: (417) 239-0127
Type: Mailing
East Empire Street, Bloomington, McLean County, Illinois, 61704-2534, United States
BLOOMINGTON, IL 617045402
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $2,134.
Total Amount is formed as General ($2,134) + Research ($0) + Ownership ($0) = $2,134.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($387).
Total Amount
$2,134
General + Research + Ownership
Payments
98
Total payment records
General Amount
$2,134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $387 |
| ABBVIE INC. | $378 |
| Novartis Pharmaceuticals Corporation | $170 |
| Sun Pharmaceutical Industries Inc. | $123 |
| E.R. Squibb & Sons, L.L.C. | $89 |
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: 2023-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130621000190 | I | Dermatology | IL | TBD |
| I20220615001379 | I | Dermatology | MO | TBD |
| I20230328002162 | I | Dermatology | FL | TBD |
| I20231004003560 | I | Dermatology | LA | 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 | 5,304 | 711 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,870 | 856 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,462 | 876 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,360 | 807 | $0 |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 1,081 | 55 | $0 |
Insurance plans in this area (ZIP 65616)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 11101 | Biopsy of each additional growth of skin and/or tissue | 141 | 121 |
| DERMATOLOGY | IL | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 38 | 38 |
| DERMATOLOGY | IL | 17003 | Destruction of 2-14 skin growths | 6161 | 745 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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