JOHN G SCARAMELLA M.D.
NPI 1033159157
Family Medicine in Chicago, IL

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
4920 N CENTRAL AVE, SUITE 2B, CHICAGO, IL 60630(773) 202-5959(773) 202-9144 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John G Scaramella M.d. NPPES

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

JOHN G SCARAMELLA M.D. (NPI 1033159157) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036087838) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1991).

NPPES Registry Identity

NPI1033159157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN G SCARAMELLACredential: M.D.
Location Address4920 N CENTRAL AVE, SUITE 2BChicago, IL 60630-2338
Mailing AddressPo Box 7389Prospect Heights, IL 60070-7389 · (847) 870-3600 · Fax (847) 870-3500
Fax(773) 202-9144
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1991
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 3, 2014
NPI 1033159157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036087838
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4920 N CENTRAL AVE, Chicago, IL 60630

Other Identifiers 3

Medicare PIN519010IL
Medicare UPINF34613IL
Medicaid036087838IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

John G Scaramella 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 ID5991870727
PECOS Enrollment IDI20080813000684
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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    18 DME suppliers used 64 Medicare Claims 134 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    14 DME suppliers used 37 Medicare Claims 38 Services Paid

  • DME-Other DME (DE000N)

    Commode chair, mobile or stationary, with detachable arms (HCPCS:E0165)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Wheelchairs (DD000N)

    Standard hemi (low seat) wheelchair (HCPCS:K0002)

    1 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Wheelchairs (DD000N)

    Lightweight wheelchair (HCPCS:K0003)

    2 DME suppliers used 19 Medicare Claims 19 Services Paid

  • DME-Wheelchairs (DD021N)

    Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 106 times for 106 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 11 times for 11 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 81 times for 58 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 189 times for 139 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 316 times for 55 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 87 times for 19 patients

Follow-up nursing facility visit per day, typically 35 minutes

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

This service was performed 28 times for 15 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 58 times for 44 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 52 times for 40 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 30 times for 21 patients

Nursing facility discharge management, more than 30 minutes

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

This service was performed 17 times for 15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 30 times for 23 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

This service was performed 65 times for 20 patients

Stool analysis for blood, by fecal hemoglobin determination by immunoassay

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

This service was performed 12 times for 12 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $26.42 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60630 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.06
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.7
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $26.42
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Scaramella is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PRESENCE SAINT FRANCIS HOSPITAL355 RIDGE AVE
EVANSTON, IL 60202
(847) 316-4000Acute Care Hospitals
AMITA HEALTH RESURRECTION MEDICAL CENTER7435 W TALCOTT AVENUE
CHICAGO, IL 60631
(773) 774-8000Acute Care Hospitals
COMMUNITY FIRST MEDICAL CENTER5645 W ADDISON STREET
CHICAGO, IL 60634
(773) 282-7000Acute Care Hospitals
NORTHWEST COMMUNITY HOSPITAL 1800 W CENTRAL ROAD
ARLINGTON HEIGHTS, IL 60005
(847) 618-1000Acute Care Hospitals

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Optometrist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Dentist (General Practice)
4920 N CENTRAL AVE
CHICAGO, IL 60630
Physical Therapist (Orthopedic)
4920 N CENTRAL AVE
CHICAGO, IL 60630
Physical Therapist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Clinic/Center (Health Service)
4920 N CENTRAL AVE, 1A
CHICAGO, IL 60630
Clinic/Center (Health Service)
4920 N CENTRAL AVE, SUITE 1A
CHICAGO, IL 60630
Podiatrist (Foot & Ankle Surgery)
4920 N CENTRAL AVE
CHICAGO, IL 60630
Podiatrist (Foot & Ankle Surgery)
4920 N CENTRAL AVE, STE 1A
CHICAGO, IL 60630
Family Medicine
4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630
Optometrist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Physical Therapist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Optometrist
4920 N CENTRAL AVE
CHICAGO, IL 60630
Family Medicine
4920 N CENTRAL AVE, SUITE 2A
CHICAGO, IL 60630
Podiatrist (Foot & Ankle Surgery)
4920 N CENTRAL AVE, SUITE 1A
CHICAGO, IL 60630
Clinic/Center (Primary Care)
4920 N CENTRAL AVE, SUITE 2B
CHICAGO, IL 60630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033159157, enumerated as an "individual" on June 07, 2006.

The provider is located at 4920 N CENTRAL AVE SUITE 2B CHICAGO, IL 60630 and the phone number is (773) 202-5959.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

John Scaramella is affiliated with: PRESENCE SAINT FRANCIS HOSPITAL, AMITA HEALTH RESURRECTION MEDICAL CENTER, COMMUNITY FIRST MEDICAL CENTER and NORTHWEST COMMUNITY HOSPITAL 1.