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Deactivated NPI 1689667479 Deactivated / Inactive NPI Male Practitioner

Dr. Lucius C Earles , MD

Dermatology • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lucius Earles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2005
NPI Deactivation Date January 18, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Lucius Earles, MD was a registered Dermatology practicing in Chicago, IL. Throughout an active medical career spanning 18 years, Dr. Earles provided care at the practice location at 9831 S WESTERN AVE until profile deactivation on 2023-01-18.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, biopsy of single growth of skin and/or tissue. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9831 S Western Ave

Chicago, IL 606431740

Telephone 7734453500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
242 Specialists

Practicing in Chicago, IL (673 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $190.00 $115.78
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $134.00 $77.31
99202 New patient office or other outpatient visit, typically 20 minutes
13 13 $134.00 $80.00

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036-042961

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Nestor Ivkov , MD

Psychiatry & Neurology - Neurology

NPI 1023028750

Doctor of Medicine (M.D.)

NPI 1033135934

Doctor of Medicine (M.D.)

NPI 1043224884

Doctor of Osteopathic Medicine (D.O.)

Mia Watkins

Nurse Practitioner - Family

NPI 1043888076
Dr. Evelyn Bell , MD

Family Medicine

NPI 1063526242

Doctor of Medicine (M.D.)

Dr. Azra Omerovic , MD

Internal Medicine

NPI 1083629851

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

NPI Profile Active December 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2012

Registered at 9831 S WESTERN AVE, CHICAGO, IL 606431740 (Tel: 7734453500)

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Updated Business Mailing Address December 19, 2012

Registered at 701 LEE ST, SUITE 300, DES PLAINES, IL 600164539 (Tel: 8473905900)

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Provider Name / Credentials Updated December 19, 2012

Recorded as LUCIUS EARLES, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2012

Dermatology (License #036-042961 in IL)

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Initial NPI Registration & Enumeration August 26, 2005

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: 1689667479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: December 19, 2012
Deactivation Date: January 18, 2023

Mailing Address

701 Lee St, Suite 300

Des Plaines, IL 600164539

Phone: 8473905900

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.