CMS-1500 Box 24J / 33a • NPI
1588027528
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363L00000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner
Box 32 Service Location & ZIP+4
116 CANDLESTICK DR, CHATHAM, IL, 62629-9691
✓ 9-Digit EDI 837 ZIP+4 (62629-9691)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1588027528 (TARA M. DILLON, AGPCNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1588027528)
Medicare Beneficiaries
176
Total Billed Services
1,125
Distinct CPT/HCPCS Codes
20
Medicare Allowed Total
$106,204.29
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11042 | Removal of skin and tissue, 20.0 sq cm or less | 150 |
11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 70 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 85 |
99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 12 |
99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 15 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 43 |
99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 140 |
99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 240 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amlodipine Besylate Amlodipine Besylate | 20 | 11 |
| Citalopram Hbr Citalopram Hydrobromide | 13 | <11 |
| Famotidine Famotidine | 15 | <11 |
| Gabapentin Gabapentin | 11 | <11 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 17 | 14 |
| Lisinopril Lisinopril | 13 | <11 |
| Metoprolol Succinate Metoprolol Succinate | 17 | <11 |
| Pantoprazole Sodium Pantoprazole Sodium | 17 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1588027528 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TARA M. DILLON, AGPCNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner NUCC Code: 363L00000X (Nurse Practitioner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 116 CANDLESTICK DR, CHATHAM, IL, 62629-9691 |
| Practice Telephone / Fax | Tel: (217) 341-9183 |
| Administrative Mailing Address | 116 CANDLESTICK DR, CHATHAM, IL, 62629-9691 |
| Enumeration & Last Sync | Enumerated: 2016-03-29 | CMS Record Updated: 2025-01-13 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (363L00000X)
What Does Taxonomy Code 363L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363L00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TARA M. DILLON, AGPCNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: IL | License: 209014050 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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