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Active NPI 1407579238 Individual Practitioner Female Practitioner

Shannon Wittel Kubis , PA-C

Physician Assistant • Elgin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Kubis, PA-C is a certified Physician Assistant practicing in Elgin, IL. With approximately 4 years of clinical experience since completing medical education in 2022, Shannon Kubis delivers high-quality medical care to the local community at 1600 N RANDALL RD STE 400.

Shannon Kubis is affiliated with Derick Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 N Randall Rd Ste 400

Elgin, IL 601237805

Telephone 8473818899
Associated Practice Facility / Clinic
🏢 Derick Dermatology, Pllc Facility NPI 1497792618

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Elgin, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -4.9 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
90 Specialists

Practicing in Elgin, IL (4958 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kubis (4 Years) 4 Yrs
Elgin Specialty Average (8.9 Years) 8.9 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
17003 Destruction of precancer skin growth, 2-14 growths
375 60 $25.00 $5.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
165 114 $200.00 $112.12
17000 Destruction of skin growth
142 99 $190.00 $43.79
11102 Tangential biopsy of single skin lesion
131 120 $230.00 $73.55
17110 Destruction of up to 14 skin growths
126 79 $255.00 $97.78
99213 Established patient office or other outpatient visit, typically 15 minutes
124 108 $135.00 $79.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
101 69 $85.00 $49.20
11103 Biopsy of related skin growth, each additional growth
76 43 $130.00 $42.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
55 55 $310.00 $148.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
47 47 $205.00 $99.05
11104 Punch biopsy, first skin growth
14 12 $290.00 $109.50

Medical Specialties & State Licenses

CMS Verified: 2024-12-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.009359

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

Derick Dermatology Pllc

329 Remington Blvd, Bolingbrook, IL 604405822

Phone: 8473818899

Derick Dermatology Pllc

5250 Old Orchard Rd, Skokie, IL 600774461

Phone: 8473818899

Derick Dermatology Pllc

85 W Algonquin Rd, Arlington Heights, IL 600054423

Phone: 8473818899

Derick Dermatology Pllc

1531 S Grove Ave, Barrington, IL 600105250

Phone: 8473818899

Derick Dermatology Pllc

8501 W Higgins Rd, Chicago, IL 606312814

Phone: 8473818899

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1083947238

Doctor of Medicine (M.D.)

Christine Rodriguez , PA-C

Physician Assistant

NPI 1104150382

Physician Assistant (Certified)

Stephanie Nagarwalla , FNP

Nurse Practitioner

NPI 1104329036

Family Nurse Practitioner

Matthew Mcgowan , PA-C

Physician Assistant

NPI 1104460062

Physician Assistant (Certified)

Kendall Kane

Physician Assistant

NPI 1104708361
Michelle Bate , NP

Nurse Practitioner - Family

NPI 1134164270

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2024

Physician Assistant (License #085.009359 in IL)

👤
Provider Name / Credentials Updated October 28, 2024

Recorded as SHANNON KUBIS, PA-C

📍
Updated Practice Location January 05, 2023

Registered at 1600 N RANDALL RD STE 400, ELGIN, IL 601237805 (Tel: 8473818899)

📍
Updated Business Mailing Address January 05, 2023

Registered at 1600 N RANDALL RD STE 400, ELGIN, IL 601237805 (Tel: 8473818899)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2023

Physician Assistant

NPI Profile Active September 26, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2022

Registered at 420 W ONTARIO ST APT 404, CHICAGO, IL 606546433 (Tel: 8476127637)

📍
Updated Business Mailing Address September 26, 2022

Registered at 420 W ONTARIO ST APT 404, CHICAGO, IL 606546433 (Tel: 8476127637)

👤
Provider Name / Credentials Updated September 26, 2022

Recorded as SHANNON WITTEL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 26, 2022

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: 1407579238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2022
Last Update: December 26, 2024
Sole Proprietor: Yes

Mailing Address

1600 N Randall Rd Ste 400

Elgin, IL 601237805

Phone: 8473818899

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.