Andrea Pabon
NPI 1265121255 · Primary Care Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Pabon is a Primary Care Nurse Practitioner provider in Chicago, IL (NPI 1265121255).
Provider details
- NPI number
- 1265121255
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209.027241 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
201 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 71 | $125 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 44 | $104 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 41 | $69 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 18 | $152 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 15 | $162 |
| Prolonged Office Or Other Outpatient Evaluation and Management Service(s) Beyond the Maximum Required Time of the Primary Procedure Which Has Been Selected Using Total Time on the Date of the Primary Service; Each Additional 15 Minutes By the Physician Or |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Losartan Potassium | 18 |
| Amlodipine Besylate | 14 |
| Furosemide | 14 |
| Dapagliflozin Propanediolbrand: Farxiga | 13 |
| Calcium Acetate | 12 |
| Sodium Zirconium Cyclosilicatebrand: Lokelma | 12 |
| Famotidine | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-04
- Last updated
- 2023-05-04
- Certified
- 2023-04-16
Frequently asked questions
- What is Andrea Pabon's NPI number?
- Andrea Pabon's National Provider Identifier (NPI) is 1265121255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Pabon's specialty?
- Andrea Pabon is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Andrea Pabon located?
- Andrea Pabon's practice location on file with NPPES is 1725 W Harrison St Ste 161, Chicago, IL 60612-3861.
- What is Andrea Pabon's phone number?
- The practice phone number listed in the NPPES registry for Andrea Pabon is (312) 942-4252.
- Does Andrea Pabon accept Medicare?
- Andrea Pabon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Pabon's NPI active?
- Yes — Andrea Pabon's NPI (1265121255) is active in the NPPES registry as of the last update on 2023-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.