Deactivated NPI 1720061526 Deactivated / Inactive NPI Male Practitioner

Dr. John Bernard Kalis , MD

Dermatology • Oak Brook, 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. John Kalis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 25, 2005

NPI Deactivation Date January 17, 2024

Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. John Kalis, MD was a registered Dermatology practicing in Oak Brook, IL. Throughout an active medical career spanning 19 years, Dr. Kalis provided care at the practice location at 120 OAK BROOK CENTER MALL until profile deactivation on 2024-01-17.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of up to 14 skin growths. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

120 Oak Brook Center Mall
Suite 410

Oak Brook, IL 605231806

Telephone 6305745860

Fax 6305745866

Associated Practice Facility / Clinic

🏢 Louisa K Gehlmann Md Sc Facility NPI 1215924212

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Oak Brook, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.0 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Oak Brook, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.0% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,456	240	$13.00	$6.98
99213 Established patient office or other outpatient visit, typically 15 minutes	636	469	$162.00	$94.02
17110 Destruction of up to 14 skin growths	456	359	$242.00	$119.18
17000 Destruction of skin growth	454	318	$142.00	$51.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	138	$99.00	$59.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	77	$234.00	$132.74
11102 Tangential biopsy of single skin lesion	98	91	$217.00	$88.29
17111 Destruction of skin growth, 15 or more growths	28	17	$283.00	$140.43
17004 Destruction of precancer skin growth, 15 or more growths	26	22	$341.00	$179.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$233.00	$117.30
11103 Biopsy of related skin growth, each additional growth	13	11	$116.00	$53.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,918	289	$13.00	$7.19
99213 Established patient office or other outpatient visit, typically 15 minutes	670	495	$162.00	$95.78
17000 Destruction of skin growth	502	360	$142.00	$56.38
17110 Destruction of up to 14 skin growths	351	294	$242.00	$121.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	146	$99.00	$60.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	97	$234.00	$134.27
11102 Tangential biopsy of single skin lesion	112	104	$217.00	$92.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$233.00	$119.33
17004 Destruction of precancer skin growth, 15 or more growths	40	32	$341.00	$181.12
17111 Destruction of skin growth, 15 or more growths	18	14	$283.00	$142.39
11103 Biopsy of related skin growth, each additional growth	17	14	$116.00	$55.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,125	312	$13.00	$6.96
99213 Established patient office or other outpatient visit, typically 15 minutes	559	428	$162.00	$97.13
17000 Destruction of skin growth	514	383	$142.00	$65.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	182	$234.00	$136.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	213	175	$99.00	$59.81
11102 Tangential biopsy of single skin lesion	116	108	$217.00	$105.92
17004 Destruction of precancer skin growth, 15 or more growths	69	54	$341.00	$179.05
17110 Destruction of up to 14 skin growths	55	53	$242.00	$119.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$233.00	$119.99
11103 Biopsy of related skin growth, each additional growth	25	20	$116.00	$57.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$356.00	$178.93
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$165.00	$78.13
11104 Punch biopsy, first skin growth	17	16	$272.00	$137.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,806	283	$18.27	$6.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	506	475	$212.64	$115.87
17000 Destruction of skin growth	458	351	$163.12	$62.88
99213 Established patient office or other outpatient visit, typically 15 minutes	393	270	$146.38	$79.94
11102 Tangential biopsy of single skin lesion	131	120	$238.95	$104.17
17110 Destruction of up to 14 skin growths	60	55	$227.87	$117.98
17004 Destruction of precancer skin growth, 15 or more growths	58	50	$366.14	$170.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$218.95	$114.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	36	$95.20	$48.64
11103 Biopsy of related skin growth, each additional growth	23	18	$129.39	$57.79
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$148.94	$81.47
11104 Punch biopsy, first skin growth	16	15	$296.38	$131.41
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$299.00	$143.55
Q0112 All potassium hydroxide (koh) preparations	12	11	$37.00	$5.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,145	319	$19.00	$6.15
99213 Established patient office or other outpatient visit, typically 15 minutes	653	406	$144.00	$78.50
17000 Destruction of skin growth	587	401	$166.00	$64.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	450	$211.00	$114.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	127	$95.00	$47.86
11102 Tangential biopsy of single skin lesion	133	124	$240.00	$103.36
17004 Destruction of precancer skin growth, 15 or more growths	71	61	$368.00	$163.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$217.00	$115.39
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$148.00	$81.10
17110 Destruction of up to 14 skin growths	38	29	$226.00	$115.41
11103 Biopsy of related skin growth, each additional growth	25	22	$130.00	$57.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	21	$341.00	$182.18
11104 Punch biopsy, first skin growth	20	19	$302.00	$133.44
11900 Injection into skin growth, 1-7 growths	15	12	$116.00	$52.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	14	11	$5.00	$1.58
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$296.00	$156.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,199	309	$19.00	$5.72
17000 Destruction of skin growth	583	402	$166.00	$64.06
99213 Established patient office or other outpatient visit, typically 15 minutes	525	371	$144.00	$76.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	408	$211.00	$112.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	272	180	$95.00	$46.03
11100 Biopsy of single growth of skin and/or tissue	149	138	$212.00	$112.05
17004 Destruction of precancer skin growth, 15 or more growths	75	61	$368.00	$154.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$217.00	$113.26
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$148.00	$79.41
17110 Destruction of up to 14 skin growths	32	28	$226.00	$117.42
11101 Biopsy of each additional growth of skin and/or tissue	25	21	$100.00	$35.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	21	$341.00	$180.18
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	14	$199.00	$85.08
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$105.00	$47.53
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$296.00	$141.78
69100 Biopsy of ear	11	11	$263.00	$102.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,019	329	$19.00	$6.08
17000 Destruction of skin growth	563	398	$166.00	$64.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	425	243	$95.00	$44.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	369	$211.00	$112.35
99213 Established patient office or other outpatient visit, typically 15 minutes	405	336	$144.00	$76.58
11100 Biopsy of single growth of skin and/or tissue	154	149	$212.00	$108.38
17004 Destruction of precancer skin growth, 15 or more growths	63	50	$368.00	$160.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$217.00	$114.66
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$148.00	$79.01
11101 Biopsy of each additional growth of skin and/or tissue	19	17	$100.00	$35.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	18	$296.00	$148.69
17110 Destruction of up to 14 skin growths	16	15	$226.00	$117.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	15	$341.00	$180.89
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$105.00	$46.59

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036061390

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

1 Associated Practitioners

Dr. Marianne O Donoghue , MD

Dermatology

NPI 1265637995

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated January 17, 2024

Record deactivated on January 17, 2024

✅

NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2012

Registered at 120 OAK BROOK CENTER MALL, SUITE 410, OAK BROOK, IL 605231806 (Tel: 6305745860)

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Updated Business Mailing Address September 12, 2012

Registered at 120 OAK BROOK CENTER MALL, SUITE 410, OAK BROOK, IL 605231806 (Tel: 6305745860)

👤

Provider Name / Credentials Updated September 12, 2012

Recorded as JOHN KALIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Dermatology (License #036061390 in IL)

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Initial NPI Registration & Enumeration November 25, 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: 1720061526

Entity Type:

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

Enumeration Date: November 25, 2005

Last Update: September 12, 2012

Deactivation Date: January 17, 2024

Update or Correct Profile

Mailing Address

120 Oak Brook Center Mall, Suite 410

Oak Brook, IL 605231806

Phone: 6305745860

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

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