NICHOLAS ALLEN WILCZYNSKI (D.O.) – Emergency Medicine Physician, NPI 1124405972
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICHOLAS ALLEN WILCZYNSKI (D.O.)
2701 17TH ST
ROCK ISLAND, IL 612015351
Phone: (309) 779-5000
Type: Location
326 W 64th St
Chicago, IL 606213114
Phone: (773) 962-3900
Type: Location
500 E 51st St
Chicago, IL 606152400
Phone: (312) 572-2000
Type: Location
4646 N Marine Dr
Chicago, IL 606405759
Phone: (773) 564-7500
Type: Location
1614 E Norris Dr
Ottawa, IL 613503681
Phone: (815) 434-2273
Type: Location
20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 604611010
Phone: (708) 747-4000
Type: Location
3716 38TH STREET CT
MOLINE, IL 612655400
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $16 |
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: 2019-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180910002750 | I | Emergency Medicine | IL | TBD |
| I20190501002459 | I | Emergency Medicine | IA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 115 | 115 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 95 | 95 | $0 |
| 99291 | Critical care, first 30-74 minutes | 61 | 61 | $0 |
Insurance plans in this area (ZIP 61201)
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