ERNESTO A GODOY-ROMERO MD
NPI 1124051198
Internal Medicine - Gastroenterology in Aurora, IL

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
99.5/100
CMS Quality Rating
1221 N HIGHLAND AVE, AURORA, IL 60506(630) 859-8700 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ernesto A Godoy-romero Md NPPES

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

ERNESTO A GODOY-ROMERO MD (NPI 1124051198) is an individual gastroenterology provider in Aurora, Illinois, licensed in Illinois (036-098079) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1124051198
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameERNESTO A GODOY-ROMEROCredential: MD
Location Address1221 N HIGHLAND AVEAurora, IL 60506-1404
Mailing Address28594 Network PlChicago, IL 60673-1285
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1124051198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in IL · 036-098079
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1221 N HIGHLAND AVE, Aurora, IL 60506

Other Identifiers 1

Medicaid036098079IL

Accepted 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

Ernesto A Godoy-romero Md 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 ID941324362
PECOS Enrollment IDI20100907000898
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.

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.
142 services72 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
94 services93 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
89 services86 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
66 services65 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.
52 services52 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.
47 services44 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
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.

99.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.15
Promoting Interoperability100
Improvement Activities40

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.

Surgery
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Specialist/Technologist (Athletic Trainer)
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Radiology (Diagnostic Radiology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Radiology (Diagnostic Radiology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Hospitalist
1221 N HIGHLAND AVE
AURORA, IL 60506

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 Ernesto Godoy-romero's NPI number?

The NPI number for Ernesto Godoy-romero is 1124051198. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Ernesto Godoy-romero located?

Ernesto Godoy-romero practices at 1221 N Highland Ave, Aurora, IL 60506. The listed phone number is (630) 859-8700.

What is Ernesto Godoy-romero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ernesto Godoy-romero enrolled in Medicare?

Yes. Ernesto Godoy-romero 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 Ernesto Godoy-romero accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ernesto Godoy-romero 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 Ernesto Godoy-romero affiliated with any hospitals?

According to CMS data, Ernesto Godoy-romero is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Ernesto Godoy-romero was last updated on December 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.