PABLO NICOLAS QUINTANA M.D.
NPI 1043624760
Hospitalist in Elmhurst, IL

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
133 E BRUSH HILL RD, ELMHURST, IL 60126(331) 221-8952 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Apr 9, 2021, Mar 9, 2021 and 2 more (5 updates tracked since 2020).

About Pablo Nicolas Quintana M.d. NPPES

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

PABLO NICOLAS QUINTANA M.D. (NPI 1043624760) is an individual hospitalist provider in Elmhurst, Illinois, licensed in Illinois (036143415) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043624760
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePABLO NICOLAS QUINTANACredential: M.D.
Location Address133 E BRUSH HILL RDElmhurst, IL 60126-5659
Mailing Address133 E Brush Hill Rd Ste 205Elmhurst, IL 60126-5659 · (331) 221-6930 · Fax (331) 221-3869
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 20, 2014
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1043624760 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 · 036143415
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 036143415 (IL)
133 E BRUSH HILL RD, Elmhurst, IL 60126

Secondary Practice Locations 2

Location 11653 W Congress PkwyChicago, IL 60612-3833 · Phone (312) 942-5000
Location 2155 E Brush Hill RdElmhurst, IL 60126-5658 · Phone (331) 221-8952 · Fax (331) 221-3782

Accepted 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

Pablo Nicolas Quintana 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 ID4486946811
PECOS Enrollment IDI20170808002715
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 11

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.

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.
180 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
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.
93 services93 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.
74 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
67 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services38 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
48 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · 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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims78 services$5.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims22 services$0.93 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$29.70 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 18

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

Internal Medicine (Interventional Cardiology)
133 E BRUSH HILL RD, SUITE 202
ELMHURST, IL 60126
Internal Medicine (Nephrology)
133 E BRUSH HILL RD, SUITE 310
ELMHURST, IL 60126
Orthopaedic Surgery
133 E BRUSH HILL RD
ELMHURST, IL 60126
Family Medicine
133 E BRUSH HILL RD
ELMHURST, IL 60126
Internal Medicine (Cardiovascular Disease)
133 E BRUSH HILL RD, SUITE 202
ELMHURST, IL 60126
Nurse Practitioner (Primary Care)
133 E BRUSH HILL RD
ELMHURST, IL 60126
Family Medicine
133 E BRUSH HILL RD, SUITE 205
ELMHURST, IL 60126
Nurse Practitioner
133 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 Pablo Quintana's NPI number?

The NPI number for Pablo Quintana is 1043624760. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Pablo Quintana located?

Pablo Quintana practices at 133 E Brush Hill Rd, Elmhurst, IL 60126. The listed phone number is (331) 221-8952.

What is Pablo Quintana's specialty?

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

Is Pablo Quintana enrolled in Medicare?

Yes. Pablo Quintana 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 Pablo Quintana accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Pablo Quintana 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 Pablo Quintana affiliated with any hospitals?

According to CMS data, Pablo Quintana is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Pablo Quintana was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.