DEBORAH J WILLNER (P.A.) – Medical Physician Assistant, NPI 1003864240
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for DEBORAH J WILLNER (P.A.)
2150 W 117TH ST STE 1238
CLEVELAND, OH 441111641
Phone: (216) 477-0071
Fax: (216) 957-8518
Type: Mailing
700, East Ogden Avenue, Westmont, DuPage County, Illinois, 60559, United States
SUITE 304
WESTMONT, IL 605595569
Phone: (866) 871-5737
Fax: (630) 522-0843
Type: Mailing
Southwest Highway, Historic Palos, Palos Park, Palos Township, Cook County, Illinois, 60462, United States
PALOS PARK, IL 604641200
Phone: (708) 274-4900
Fax: (708) 274-4949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Boston Scientific Corporation ($45).
Total Amount
$64
General + Research + Ownership
Payments
2
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $45 |
| ABBVIE INC. | $19 |
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: 2024-11-11
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 |
|---|---|---|---|---|
| I20040816001024 | I | Physician Assistant | IL | TBD |
| I20200702000697 | I | Physician Assistant | IN | TBD |
| I20241025001921 | I | Physician Assistant | OH | TBD |
| I20241111000497 | I | Physician Assistant | SC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | CO | |
| Nurse Practitioner | NC | |
| Family Practice | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Internal Medicine | NC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | NC | |
| Physician Assistant | SC | |
| Nurse Practitioner | SC |
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