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DR. NICHOLAS ROBERT KUNIO M.D.
NPI 1083816201
Surgery in Elgin, IL

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
745 FLETCHER DR, ELGIN, IL 60123(847) 695-6600(847) 695-4279 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Dec 16, 2021, Jun 3, 2019 (3 updates tracked since 2019).

About Dr. Nicholas Robert Kunio M.d. NPPES

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

DR. NICHOLAS ROBERT KUNIO M.D. (NPI 1083816201) is an individual surgery provider in Elgin, Illinois, licensed in Illinois (036-134798) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2007).

NPPES Registry Identity

NPI1083816201
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. NICHOLAS ROBERT KUNIOCredential: M.D.
Location Address745 FLETCHER DRElgin, IL 60123-4747
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 695-6600
Fax(847) 695-4279
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2007
Enumeration DateJune 1, 2007
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1083816201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036-134798
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
745 FLETCHER DR, Elgin, IL 60123
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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.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

Dr. Nicholas Robert Kunio 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 ID4688829260
PECOS Enrollment IDI20140929002194
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 7

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.
72 services35 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
45 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 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.
37 services31 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.
15 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. SONIA SHAILESH GODAMBE M.D.
Internal Medicine (Gastroenterology)
745 FLETCHER DR
ELGIN, IL 60123
Kane County (847) 888-1300
DR. JAMES H. GRIFFIN MD
Urology
745 FLETCHER DR, SUITE 301
ELGIN, IL 60123
Kane County (847) 741-0398
MR. RICHARD M BALEY M.D.
Internal Medicine
745 FLETCHER DR, SUITE 101
ELGIN, IL 60123
Kane County (847) 742-3525
ELGIN INTERNAL MEDICAL ASSOCIATES, S.C.
Internal Medicine
745 FLETCHER DR, SUITE 101
ELGIN, IL 60123
Kane County (847) 742-3525
JAMES G STINNEFORD MD
Internal Medicine (Gastroenterology)
745 FLETCHER DR, STE 202
ELGIN, IL 60123
Kane County (847) 888-1300
RACHEL P BAER MD
Surgery
745 FLETCHER DR, #302
ELGIN, IL 60123
Kane County (847) 695-6600
JOSEPH LOSURDO MD
Internal Medicine (Gastroenterology)
745 FLETCHER DR, STE 202
ELGIN, IL 60123
Kane County (847) 888-1300
MR. JOHN T FIEDLER M.D.
Internal Medicine
745 FLETCHER DR, SUITE 101
ELGIN, IL 60123
Kane County (847) 742-3525

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 Nicholas Kunio's NPI number?

The NPI number for Nicholas Kunio is 1083816201. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Nicholas Kunio located?

Nicholas Kunio practices at 745 Fletcher Dr, Elgin, IL 60123. The listed phone number is (847) 695-6600.

What is Nicholas Kunio's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Kunio enrolled in Medicare?

Yes. Nicholas Kunio 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 Nicholas Kunio accept?

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

According to CMS data, Nicholas Kunio is affiliated with Advocate Sherman Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Kunio was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.