CAROLINE M PILEWICZ NP
NPI 1083385637
Nurse Practitioner - Family in Oak Lawn, IL

Active since September 23, 2021PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
4440 W 95TH ST FL 8, OAK LAWN, IL 60453(708) 684-4200 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2023, Feb 1, 2022, Sep 23, 2021 (3 updates tracked since 2021).

About Caroline M Pilewicz Np NPPES

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

CAROLINE M PILEWICZ NP (NPI 1083385637) is an individual family provider in Oak Lawn, Illinois, licensed in Illinois (209-027644) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1083385637
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLINE M PILEWICZCredential: NP
Location Address4440 W 95TH ST FL 8Oak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 23, 2021
Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1083385637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209-027644 Licensed in IN · 71011547A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28222151A (IN)
4440 W 95TH ST FL 8, Oak Lawn, IL 60453

Other Names 1

Former Name (1)Caroline M Mallon Rn

Secondary Practice Location 1

Location 11115 Ronald Reagan Pkwy # B1600Avon, IN 46123-6910 · Phone (317) 217-3800 · Fax (317) 968-1137

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

Caroline M Pilewicz Np 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 ID5698173524
PECOS Enrollment IDI20230905001711
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 3

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.
42 services30 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.
28 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.15
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physician Assistant
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Internal Medicine (Hematology & Oncology)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Internal Medicine (Medical Oncology)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Internal Medicine (Hematology & Oncology)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Nurse Practitioner
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Physician Assistant
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Physician Assistant
4440 W 95TH ST FL 8
OAK LAWN, IL 60453
Nurse Practitioner (Family)
4440 W 95TH ST FL 8
OAK LAWN, IL 60453

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 Caroline Pilewicz's NPI number?

The NPI number for Caroline Pilewicz is 1083385637. It was assigned to this individual provider in the NPPES registry on September 23, 2021. The provider is also known as Caroline M Mallon Rn.

Where is Caroline Pilewicz located?

Caroline Pilewicz practices at 4440 W 95th St Fl 8, Oak Lawn, IL 60453. The listed phone number is (708) 684-4200.

What is Caroline Pilewicz's specialty?

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

Is Caroline Pilewicz enrolled in Medicare?

Yes. Caroline Pilewicz 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 Caroline Pilewicz accept?

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

According to CMS data, Caroline Pilewicz is affiliated with Advocate Trinity Hospital, Advocate Illinois Masonic Medical Center and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Pilewicz was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.