DR. JAMIE SO-YUNG CHIN (M.D.) – Dermatology Physician, NPI 1992807804
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for DR. JAMIE SO-YUNG CHIN (M.D.)
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (866) 630-9882
Fax: (920) 682-5810
Type: Mailing
278, Memorial Drive, Crystal Lake, McHenry County, Illinois, 60014, United States
CRYSTAL LAKE, IL 600146254
Phone: (815) 477-9858
Fax: (815) 477-9868
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $187.
Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($57).
Total Amount
$187
General + Research + Ownership
Payments
9
Total payment records
General Amount
$187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $57 |
| Medtronic, Inc. | $51 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $51 |
| PFIZER INC. | $15 |
| Sun Pharmaceutical Industries Inc. | $13 |
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: 2011-02-24
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 |
|---|---|---|---|---|
| I20110224000443 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 721 | 528 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 655 | 160 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 298 | 238 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 160 | 129 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 147 | 128 | $0 |
Insurance plans in this area (ZIP 54220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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