JAMES A JOSEPH D.O.
NPI 1083660229
Family Medicine in North Chicago, IL

Q: What is James Joseph's NPI number?

The NPI number for James Joseph is 1083660229. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is James Joseph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Joseph was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

1809 SHERIDAN RD, NORTH CHICAGO, IL 60064(847) 785-0611(847) 785-0612 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2020, Mar 14, 2017, Sep 30, 2015 (3 updates tracked since 2015).

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About James A Joseph D.o. NPPES

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

JAMES A JOSEPH D.O. (NPI 1083660229) is an individual family medicine provider in North Chicago, Illinois, licensed in Illinois (036102939) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1083660229

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES A JOSEPHCredential: D.O.

Location Address1809 SHERIDAN RDNorth Chicago, IL 60064-2235

Mailing Address1809 Sheridan RdNorth Chicago, IL 60064-2235 · (847) 785-0611 · Fax (847) 785-0612

Phone(847) 785-0611

Fax(847) 785-0612

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1998

Enumeration DateMay 26, 2006

Last NPPES UpdateAugust 24, 20203 updates tracked since enumeration

NPPES CertifiedAugust 24, 2020

✔ NPI 1083660229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036102939✔ Licensed in MI · 5101018552

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.

1809 SHERIDAN RD, North Chicago, IL 60064

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Other Identifiers 1

Medicaid036102939IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

James A Joseph D.o. 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 ID6800089988

PECOS Enrollment IDI20101021000428

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 4

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 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.

99 services51 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.

48 services34 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.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

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.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

53%189 patients3/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

47%340 patients3/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

15%220 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

DR THOMAS J. SINGEL II,SC

Family Medicine