BARBARA E POTACZEK MD
NPI 1043290141
Hospitalist in Elmhurst, IL

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
155 E BRUSH HILL RD, ELMHURST, IL 60126(331) 221-8952(331) 221-3782 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barbara E Potaczek Md NPPES

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

BARBARA E POTACZEK MD (NPI 1043290141) is an individual hospitalist provider in Elmhurst, Illinois, licensed in Illinois (036113875) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1043290141
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameBARBARA E POTACZEKCredential: MD
Location Address155 E BRUSH HILL RDElmhurst, IL 60126
Mailing Address172 Schiller StElmhurst, IL 60126 · (331) 221-6377 · Fax (331) 221-2706
Fax(331) 221-3782
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 17, 2006
Last NPPES UpdateOctober 24, 2018
NPI 1043290141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036113875
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036113875 (IL)
155 E BRUSH HILL RD, Elmhurst, IL 60126

Other Identifiers 1

Medicaid036113875IL

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

Barbara E Potaczek Md 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 ID4587679402
PECOS Enrollment IDI20060214000624
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
745 services270 patients
Hospital discharge day management, more than 30 minutes 99239
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.
199 services197 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
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.
59 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
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.
29 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers49 claims49 services$15.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers67 claims67 services$63.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Radiology (Diagnostic Radiology)
155 E BRUSH HILL RD
ELMHURST, IL 60126
Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Hospitalist
155 E BRUSH HILL RD
ELMHURST, IL 60126
Pharmacist
155 E BRUSH HILL RD
ELMHURST, IL 60126
Emergency Medicine
155 E BRUSH HILL RD
ELMHURST, IL 60126
Nurse Practitioner
155 E BRUSH HILL RD
ELMHURST, IL 60126

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 Barbara Potaczek's NPI number?

The NPI number for Barbara Potaczek is 1043290141. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Barbara Potaczek located?

Barbara Potaczek practices at 155 E Brush Hill Rd, Elmhurst, IL 60126. The listed phone number is (331) 221-8952.

What is Barbara Potaczek's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Barbara Potaczek enrolled in Medicare?

Yes. Barbara Potaczek 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.

Is Barbara Potaczek affiliated with any hospitals?

According to CMS data, Barbara Potaczek is affiliated with Elmhurst Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Potaczek was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.