Active NPI 1144595174 Individual Practitioner Female Practitioner

Lidia S Pomaville , PA-C

Physician Assistant • Berwyn, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lidia Pomaville, PA-C is a certified Physician Assistant practicing in Berwyn, IL. With approximately 15 years of clinical experience since completing medical education in 2011, Lidia Pomaville delivers high-quality medical care to the local community at 3253 S HARLEM AVE.

Lidia Pomaville is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3253 S Harlem Ave
Suite 1a

Berwyn, IL 604023073

Telephone 2628984400

Fax 7087886884

Associated Practice Facility / Clinic

🏢 Berwyn Surgical Center Llc Facility NPI 1992086029

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berwyn, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +5.5 yrs vs City Avg

City Avg: 9.5 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Berwyn, IL (4958 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pomaville (15 Years) 15 Yrs

Berwyn Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,200	16	$3.60	$1.69
17003 Destruction of precancer skin growth, 2-14 growths	225	38	$84.00	$5.85
99213 Established patient office or other outpatient visit, typically 15 minutes	193	137	$263.00	$81.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	114	13	$16.33	$0.98
17110 Destruction of up to 14 skin growths	112	85	$419.00	$99.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	74	$372.00	$112.09
17000 Destruction of skin growth	80	53	$303.63	$46.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	40	$147.53	$50.75
11102 Tangential biopsy of single skin lesion	47	41	$378.00	$78.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$321.00	$101.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	11	$71.76	$11.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$474.00	$152.45
96574 Application of light with debridement to destroy precancer skin growth	19	15	$703.31	$245.72
11900 Injection into skin growth, 1-7 growths	16	11	$201.78	$41.20
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$223.46	$65.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	217	34	$84.00	$5.74
99213 Established patient office or other outpatient visit, typically 15 minutes	161	111	$263.00	$80.09
17110 Destruction of up to 14 skin growths	84	69	$419.00	$100.82
17000 Destruction of skin growth	73	50	$303.63	$47.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	49	$372.00	$113.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	40	$147.53	$50.38
11102 Tangential biopsy of single skin lesion	47	44	$378.00	$77.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	12	$16.33	$1.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$321.00	$101.35
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$223.46	$62.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$474.00	$149.37
11900 Injection into skin growth, 1-7 growths	17	11	$201.78	$39.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	243	39	$73.88	$6.04
99213 Established patient office or other outpatient visit, typically 15 minutes	132	103	$188.52	$81.07
17110 Destruction of up to 14 skin growths	117	84	$341.58	$101.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	54	$273.20	$114.02
17000 Destruction of skin growth	75	58	$303.63	$43.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	48	$147.53	$51.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	12	$16.33	$1.19
11102 Tangential biopsy of single skin lesion	44	41	$286.83	$76.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$291.03	$102.76
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$223.46	$66.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$351.63	$152.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	213	31	$73.88	$5.92
99213 Established patient office or other outpatient visit, typically 15 minutes	116	88	$188.52	$83.51
17110 Destruction of up to 14 skin growths	60	50	$341.58	$104.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	47	$147.53	$51.15
17000 Destruction of skin growth	53	42	$303.63	$47.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	33	$273.20	$116.98
11102 Tangential biopsy of single skin lesion	41	36	$286.83	$84.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$291.03	$104.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$351.63	$155.46
11103 Biopsy of related skin growth, each additional growth	17	11	$154.71	$49.12
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$223.46	$67.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	162	30	$73.88	$5.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	91	$273.20	$99.08
99213 Established patient office or other outpatient visit, typically 15 minutes	111	71	$188.52	$68.23
17110 Destruction of up to 14 skin growths	85	50	$341.58	$101.32
17000 Destruction of skin growth	71	47	$303.63	$46.16
11102 Tangential biopsy of single skin lesion	54	43	$286.83	$75.03
11103 Biopsy of related skin growth, each additional growth	39	16	$154.71	$49.47
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$223.46	$68.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$291.03	$99.31
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	28	12	$16.33	$1.46
11900 Injection into skin growth, 1-7 growths	21	11	$201.78	$38.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	286	46	$73.88	$5.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	200	126	$273.20	$96.07
99213 Established patient office or other outpatient visit, typically 15 minutes	80	55	$188.52	$66.35
11102 Tangential biopsy of single skin lesion	79	69	$286.83	$81.34
17000 Destruction of skin growth	79	55	$303.63	$42.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$291.03	$95.95
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$223.46	$67.28
17110 Destruction of up to 14 skin growths	67	50	$341.58	$97.31
11103 Biopsy of related skin growth, each additional growth	45	19	$154.71	$48.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	17	$16.33	$1.58
11900 Injection into skin growth, 1-7 growths	25	14	$201.78	$46.54
17004 Destruction of precancer skin growth, 15 or more growths	20	14	$734.31	$138.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	136	17	$73.88	$4.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	61	$273.20	$96.20
99213 Established patient office or other outpatient visit, typically 15 minutes	50	37	$188.52	$65.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$291.03	$98.06
11100 Biopsy of single growth of skin and/or tissue	39	36	$330.48	$87.24
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$223.46	$67.48
17000 Destruction of skin growth	32	19	$303.63	$43.27
17110 Destruction of up to 14 skin growths	25	19	$341.58	$100.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	14	$16.33	$1.76
11900 Injection into skin growth, 1-7 growths	22	14	$201.78	$44.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	20	$273.20	$96.01
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$188.52	$65.48

Medical Specialties & State Licenses

CMS Verified: 2021-02-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-004255

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

2051 Plainfield Rd, Crest Hill, IL 604031865

Phone: 8157414343

Forefront Dermatology Sc

3253 S Harlem Ave, Berwyn, IL 604023073

Phone: 7087883885

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. David Whitney , MD

Dermatology - Procedural Dermatology

NPI 1013983618

Doctor of Medicine (M.D.)

Dr. Alexandria Meccia , MD

Dermatology

NPI 1023054954

Doctor of Medicine (M.D.)

Jessica Bahr , PA-C

Physician Assistant

NPI 1063767226

Physician Assistant (Certified)

Elena Giese , APNP

Nurse Practitioner - Family

NPI 1083183297

Advanced Practice Nurse Prescriber

John Claussen , PA-C

Physician Assistant

NPI 1194814376

Physician Assistant (Certified)

Dr. James Franks , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1205974847

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2016

Registered at 3253 S HARLEM AVE, SUITE 1A, BERWYN, IL 604023073 (Tel: 2628984400)

📍

Updated Business Mailing Address November 22, 2016

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 8666309882)

👤

Provider Name / Credentials Updated November 22, 2016

Recorded as LIDIA POMAVILLE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Physician Assistant (License #085-004255 in IL)

🟢

Initial NPI Registration & Enumeration March 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144595174

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 08, 2012

Last Update: February 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 8666309882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.