PHYLLIS EGGLESTON
NPI 1043834435
Nurse Practitioner - Family in Chicago, IL

Q: What is Phyllis Eggleston's NPI number?

The NPI number for Phyllis Eggleston is 1043834435. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Q: What is Phyllis Eggleston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Eggleston was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2020PECOS Enrolled

72.99/100

CMS Quality Rating

9119 S EXCHANGE AVE, CHICAGO, IL 60617(773) 364-2206 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2020, Jun 2, 2020 (2 updates tracked since 2020).

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About Phyllis Eggleston NPPES

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

PHYLLIS EGGLESTON (NPI 1043834435) is an individual family provider in Chicago, Illinois, licensed in Illinois (209021337) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043834435

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePHYLLIS EGGLESTON

Location Address9119 S EXCHANGE AVEChicago, IL 60617-4225

Mailing Address10159 S Vernon AveChicago, IL 60628-2235 · (773) 791-0019

Phone(773) 364-2206

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 2, 2020

Last NPPES UpdateDecember 15, 20202 updates tracked since enumeration

NPPES CertifiedDecember 15, 2020

✔ NPI 1043834435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209021337

9119 S EXCHANGE AVE, Chicago, IL 60617

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Eggleston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133530009

PECOS Enrollment IDI20201125000268

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 8

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

702 services153 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

170 services88 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

148 services77 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

136 services128 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.

98 services98 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

72.99/100

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

Scored as part of a group practice

Quality

69.36

Promoting Interoperability

Improvement Activities

Cost

22.28

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CARL B TOREN MD

Non-Pharmacy Dispensing Site