DR. RACHEL HAMMEL MCDOWELL MD
NPI 1104879071
Emergency Medicine in Evanston, IL

NPI Status: Active since May 19, 2006

Contact Information

355 RIDGE AVE
EVANSTON, IL
ZIP 60202
Phone: (847) 316-2440

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  • Individual
  • Female
  • Years of Experience 22
  • Emergency Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RACHEL MCDOWELL

This page provides the complete NPI Profile along with additional information for Rachel Mcdowell, a provider established in Evanston, Illinois with a medical specialization in Emergency Medicine and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1104879071 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number 53326-20 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1104879071
Provider Name
DR. RACHEL HAMMEL MCDOWELL MD
Other Name
RACHEL DANNEN HAMMEL
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
355 RIDGE AVE EVANSTON, IL 60202
Location Phone
(847) 316-2440
Mailing Address
3035 BLACKTHORN RD RIVERWOODS, IL 60015
Mailing Phone
(847) 770-5600
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
05-19-2006
Last Update Date
06-20-2024
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Location Map

Secondary Locations

  • 5666 E State St C/o ER
    Rockford, IL 61108
    (815) 381-7758

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
53326-20
License State
WI
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

036.117139 (IL)
2207PE0004XAllopathic & Osteopathic Physicians

Emergency Medicine
Emergency Medical Services

E-4596 (AR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
  • BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
  • BlueCare Direct Silver? Standard - Select Rx Copays with Advocate - HMO
  • Chorus Bronze Complete - EPO
  • Chorus Bronze HDHP - EPO
  • Chorus Catastrophic - EPO
  • Chorus Core Bronze - EPO
  • Chorus Core Gold - EPO
  • Chorus Core Silver - EPO
  • Chorus Elite Gold - EPO
  • Chorus Gold - EPO
  • Chorus Silver - EPO
  • Chorus Silver Select - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
158691001MEDICAID (05)AR 

Medicare Participation & PECOS Enrollment Status

Rachel Mcdowell is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rachel Mcdowell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2062434533

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070928000301

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 19 times for 19 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

This service was performed 25 times for 25 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 73 times for 71 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 34 times for 33 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $26.42 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.06
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $105.7
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $26.42
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rachel Mcdowell is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PRESENCE SAINT FRANCIS HOSPITAL355 RIDGE AVE
EVANSTON, IL 60202
(847) 316-4000Acute Care Hospitals
ADVOCATE CONDELL MEDICAL CENTER801 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
(847) 362-2900Acute Care Hospitals

Reviews for DR. RACHEL HAMMEL MCDOWELL MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104879071
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416718014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 7 + 1 + 8 + 0 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1104879071 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

IHC-ST. FRANCIS EMERGENCY PHYSICIANS, LLC

Emergency Medicine

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(414) 290-6720

DR. CARLOS H ESCAMILLA M.D.

Radiology

(Diagnostic Radiology)

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-6101

NORTHSHORE ANESTHESIOLOGISTS

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

NARAHARISETTY RAO MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

CURT THEO MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

BRAD ALEXANDER MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

BRANKA PAVLOVIC MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

ZBIGNIEW POMYKALA MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

MAUREEN COLEMAN MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

HOWARD SCHECHTER MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

NAGESWARARAO LATCHAMSETTY MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

AUSTIN ANESTHESIA LLC

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-4000

RAFIQUE RAJWANI MD

Anesthesiology

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(800) 444-6110

MS. MARSHA A SMITH LCSW

Social Worker

(Clinical)

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-2024

NADIM Z YOUSSEF M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-4000

MARGARET YUNGBLUTH M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-4000

RYOICHI OYASU M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-4000

LOWELL Z WAX CRNA

Nurse Anesthetist, Certified Registered

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-3364

DR. VENKATESH SARAVANAN MD,MRCP(UK)

Internal Medicine

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-4000

DR. HARSHA RUDRAPPA MD

Internal Medicine

355 RIDGE AVE
EVANSTON, IL
ZIP 60202

(847) 316-4000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104879071, enumerated as an "individual" on May 19, 2006.

The provider is located at 355 RIDGE AVE EVANSTON, IL 60202 and the phone number is (847) 316-2440.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Chorus. Please consult your insurance carrier or call the provider to verify.

Rachel Mcdowell is affiliated with: PRESENCE SAINT FRANCIS HOSPITAL and ADVOCATE CONDELL MEDICAL CENTER.