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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. EMMANUEL N AGOMO PA-C
NPI 1093760514
Physician Assistant - Medical in Addison, IL

Active since May 23, 2006PECOS Enrolled
79.44/100
CMS Quality Rating
240 E LAKE ST, SUITE 200, ADDISON, IL 60101(630) 941-9344(630) 941-1486 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Emmanuel N Agomo Pa-c NPPES

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

MR. EMMANUEL N AGOMO PA-C (NPI 1093760514) is an individual medical provider in Addison, Illinois, licensed in Illinois (85002328) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1093760514
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. EMMANUEL N AGOMOCredential: PA-C
Location Address240 E LAKE ST, SUITE 200Addison, IL 60101-2890
Mailing Address240 E Lake St, Suite 200Addison, IL 60101-2890 · (630) 776-1595
Phone(630) 941-9344
Fax(630) 941-1486
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1093760514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 85002328
240 E LAKE ST, Addison, IL 60101
Open in Google Maps ↗

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

Mr. Emmanuel N Agomo Pa-c 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 ID143231464
PECOS Enrollment IDI20060525000039
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 9

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 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.
221 services81 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.
129 services51 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.
33 services28 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.
27 services27 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
24 services17 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
20 services15 patients

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.

79.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.25
Promoting Interoperability100
Improvement Activities40
Cost40.87

Referred Medical Equipment & Supplies CMS DME claims 4

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
2 suppliers18 claims53 services$7.18 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier14 claims14 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims27 services$1.22 avg. paid by Medicare
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds K0821
DME-Wheelchairs · category DD009N
1 supplier13 claims13 services$76.94 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 4

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

MARCIA SIEGAL
Obstetrics & Gynecology
240 E LAKE ST, SUITE 200
ADDISON, IL 60101
Dupage County (630) 941-9344
DR. RODNEY H BERGER M.D.
Specialist
240 E LAKE ST, SUITE 200
ADDISON, IL 60101
Dupage County (630) 941-9344
COOK COUNTER CENTER OF HOME HEALTH, INC.
Home Health
240 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 776-7549
EDWARD DANIEL BUCK L.C.S.W.
Social Worker (Clinical)
240 E LAKE ST, #203
ADDISON, IL 60101
Dupage County (708) 567-8748

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 Emmanuel Agomo's NPI number?

The NPI number for Emmanuel Agomo is 1093760514. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Emmanuel Agomo located?

Emmanuel Agomo practices at 240 E Lake St Suite 200, Addison, IL 60101. The listed phone number is (630) 941-9344.

What is Emmanuel Agomo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Emmanuel Agomo enrolled in Medicare?

Yes. Emmanuel Agomo 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.

When was this NPI record last updated?

The NPPES record for Emmanuel Agomo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.