CMS-1500 Box 24J / 33a • NPI
1952395436
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207N00000X (CMS 07)
Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)
Box 32 Service Location & ZIP+4
2051 PLAINFIELD RD, CREST HILL, IL, 60403-1865
✓ 9-Digit EDI 837 ZIP+4 (60403-1865)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952395436 (GREGORY J BEZANIS, MD) 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
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1952395436)
Medicare Beneficiaries
1,217
Total Billed Services
5,297
Distinct CPT/HCPCS Codes
70
Medicare Allowed Total
$352,641.78
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11102 | Biopsy of related skin growth, first growth | 284 |
11103 | Biopsy of related skin growth, each additional growth | 59 |
11104 | Punch biopsy, first skin growth | 21 |
11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 15 |
11602 | Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm | 40 |
11603 | Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm | 13 |
11900 | Injection into skin growth, 1-7 growths | 24 |
12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 64 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Alclometasone Dipropionate Alclometasone Dipropionate | 22 | 13 |
| Betamethasone Diprop Augmented Betamethasone/Propylene Glyc | 16 | <11 |
| Betamethasone Dipropionate Betamethasone Dipropionate | 142 | 74 |
| Betamethasone Valerate Betamethasone Valerate | 18 | <11 |
| Calcipotriene Calcipotriene | 13 | <11 |
| Cephalexin Cephalexin | 12 | 11 |
| Clindamycin Phosphate Clindamycin Phosphate | 46 | 30 |
| Clobetasol Propionate Clobetasol Propionate | 134 | 74 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952395436 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | GREGORY J BEZANIS, MD |
| Plain-English Specialty | Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: 207N00000X (Dermatology) |
| Certifying / Licensing Body | American Board of Dermatology (ABD) |
| Practice Location Address | 2051 PLAINFIELD RD, CREST HILL, IL, 60403-1865 |
| Practice Telephone / Fax | Tel: (815) 741-4343 | Fax: (815) 741-8660 |
| Administrative Mailing Address | 801 YORK ST, MANITOWOC, WI, 54220-4630 |
| Enumeration & Last Sync | Enumerated: 2005-09-09 | CMS Record Updated: 2021-02-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207N00000X)
What Does Taxonomy Code 207N00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (GREGORY J BEZANIS, MD)
Typical CPT / Diagnostic Procedures:- Full-Body Dermoscopy & Skin Cancer Screening
- Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
- Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)
- Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
- Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
- Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207N00000X — DermatologyPlain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) | State: IL | License: 036106569 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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