ADAM DAVID SOUCHIK (MD) – Dermatology Physician, NPI 1205464146
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for ADAM DAVID SOUCHIK (MD)
549 FAIR ST # MC61-22
BLOOMSBURG, PA 178151419
Phone: (570) 416-1925
Type: Location
549 Fair St # Mc61-22
Bloomsburg, PA 178151419
Phone: (570) 416-1925
Type: Location
2160 S 1ST AVE
FAHEY BLDG./ROOM 101
MAYWOOD, IL 601533328
Phone: (708) 216-4962
Fax: (708) 216-2444
Type: Location
1475 GRANARY RD
BLUE BELL, PA 194222155
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,182.
Total Amount is formed as General ($1,182) + Research ($0) + Ownership ($0) = $1,182.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($456).
Total Amount
$1,182
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $456 |
| Novartis Pharmaceuticals Corporation | $201 |
| Lilly USA, LLC | $159 |
| Janssen Biotech, Inc. | $140 |
| E.R. Squibb & Sons, L.L.C. | $53 |
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: 2024-08-18
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 |
|---|---|---|---|---|
| I20240818000083 | I | Dermatology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17815)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | KY | |
| Physician Assistant | IN | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | PA | |
| Physician Assistant | IL |
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