DR. PETER CHARLES REVENAUGH M.D.
NPI 1114198678
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Chicago, IL

Q: What is Peter Revenaugh's NPI number?

The NPI number for Peter Revenaugh is 1114198678. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Q: What is Peter Revenaugh's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Peter Revenaugh was last updated on January 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 12, 2008PECOS EnrolledAccepts Medicare Assignment

1611 W HARRISON ST STE 550, CHICAGO, IL 60612(312) 942-6100 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Peter Charles Revenaugh M.d. NPPES

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

DR. PETER CHARLES REVENAUGH M.D. (NPI 1114198678) is an individual otolaryngology/facial plastic surgery provider in Chicago, Illinois, licensed in Illinois (036-136085) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1114198678

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameDR. PETER CHARLES REVENAUGHCredential: M.D.

Location Address1611 W HARRISON ST STE 550Chicago, IL 60612

Mailing Address1611 W Harrison St Ste 550Chicago, IL 60612-4861 · (312) 942-6100

Phone(312) 942-6100

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2007

Enumeration DateMarch 12, 2008

Last NPPES UpdateJanuary 30, 2019

✔ NPI 1114198678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in IL · 036-136085

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 036-136085 (IL)

1611 W HARRISON ST STE 550, Chicago, IL 60612

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Secondary Practice Location 1

Location 1Cleveland Clinic FoundationCleveland, OH 44195-0001 · Phone (216) 444-2200

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. Peter Charles Revenaugh 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 ID2860632239

PECOS Enrollment IDI20140910001070

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 14

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.

56 services48 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.

53 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

37 services32 patients

Repair of wound by transferring skin, each additional 30.0 sq cm 14302

This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.

31 services16 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

30 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

26 services19 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

25 services24 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

21 services18 patients

Transfer of skin flap to eyelids, nose, ears, or lips 15630

This procedure involves moving a piece of skin, called a flap, from one part of your body to your eyelids, nose, ears, or lips. It's typically done to repair areas affected by injury, disease, or surgery. The goal is to improve function and appearance.

16 services12 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

15 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

14 services13 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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

NICHOLAS ROBERT CURRAN MD

Otolaryngology (Otolaryngology/Facial Plastic Surgery)