PAUL OWEN PHELPS M.D.
NPI 1003131657
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Chicago, IL

Q: What is Paul Phelps's NPI number?

The NPI number for Paul Phelps is 1003131657. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Q: What is Paul Phelps's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Q: When was this NPI record last updated?

The NPPES record for Paul Phelps was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2010PECOS EnrolledAccepts Medicare Assignment

84.57/100

CMS Quality Rating

2001 N HALSTED ST STE 200, CHICAGO, IL 60614(312) 888-5754(312) 883-9976 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Dec 20, 2021, Apr 7, 2021 and 3 more (6 updates tracked since 2017).

On this page

About Paul Owen Phelps M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL OWEN PHELPS M.D. (NPI 1003131657) is an individual ophthalmic plastic and reconstructive surgery provider in Chicago, Illinois, licensed in Illinois (036.131388) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003131657

Entity TypeIndividualMale

Primary Taxonomy207WX0200X

Provider Legal NamePAUL OWEN PHELPSCredential: M.D.

Location Address2001 N HALSTED ST STE 200Chicago, IL 60614-4365

Mailing Address2001 N Halsted St Ste 200Chicago, IL 60614-4365 · (312) 888-5754 · Fax (312) 883-9976

Phone(312) 888-5754

Fax(312) 883-9976

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 6, 2010

Last NPPES UpdateMarch 2, 20266 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1003131657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207WX0200X

License✔ Licensed in IL · 036.131388

Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

2001 N HALSTED ST STE 200, Chicago, IL 60614

Open in Google Maps ↗

Secondary Practice Location 1

Location 12001 N Halsted St Ste 200Chicago, IL 60614-4365 · Phone (312) 888-5754 · Fax (312) 883-9976

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Owen Phelps M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678708864

PECOS Enrollment IDI20131023002220

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

15 services12 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

12 services12 patients

Exam of visual field with limited testing 92081

An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.25

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

Documentation of Current Medications in the Medical Record

76%318 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

1%282 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 63 patients

0%63 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE HEALTH IV CLINIC, P.C.

Clinic/Center (Multi-Specialty)

2001 N HALSTED ST STE 200
CHICAGO, IL 60614

Cook County (310) 363-8757

CHICAGO OCULOFACIAL PLASTIC SURGERY, S.C.

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

2001 N HALSTED ST STE 200
CHICAGO, IL 60614

Cook County (312) 888-6764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Phelps's NPI number?

The NPI number for Paul Phelps is 1003131657. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Paul Phelps located?

Paul Phelps practices at 2001 N Halsted St Ste 200, Chicago, IL 60614. The listed phone number is (312) 888-5754.

What is Paul Phelps's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Paul Phelps enrolled in Medicare?

Yes. Paul Phelps is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Phelps accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul Phelps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Phelps affiliated with any hospitals?

According to CMS data, Paul Phelps is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Paul Phelps was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.