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LARA KATHRYN NICOL M.D.
NPI 1124412374
Family Medicine in Chicago, IL

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
4211 N CICERO AVE STE 308, CHICAGO, IL 60641(773) 736-6125 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2021, Oct 2, 2018, Feb 13, 2018 (3 updates tracked since 2018).

About Lara Kathryn Nicol M.d. NPPES

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

LARA KATHRYN NICOL M.D. (NPI 1124412374) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-122174) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2015).

NPPES Registry Identity

NPI1124412374
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLARA KATHRYN NICOLCredential: M.D.
Location Address4211 N CICERO AVE STE 308Chicago, IL 60641-1649
Mailing Address2511 N Kedzie BlvdChicago, IL 60647-2603 · (773) 292-2700
Phone(773) 736-6125
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration
NPPES CertifiedDecember 18, 2021
✔ NPI 1124412374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-122174
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4211 N CICERO AVE STE 308, Chicago, IL 60641
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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

Lara Kathryn Nicol 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 ID3072818780
PECOS Enrollment IDI20180814000092
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 6

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 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.
62 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
55 services38 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.
31 services23 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.
20 services20 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60641 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

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

MEERA SHARMA M.D.
Family Medicine
4211 N CICERO AVE STE 308
CHICAGO, IL 60641
Cook County (773) 736-6125

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 Lara Nicol's NPI number?

The NPI number for Lara Nicol is 1124412374. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Lara Nicol located?

Lara Nicol practices at 4211 N Cicero Ave Ste 308, Chicago, IL 60641. The listed phone number is (773) 736-6125.

What is Lara Nicol's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lara Nicol enrolled in Medicare?

Yes. Lara Nicol 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 Lara Nicol accept?

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

According to CMS data, Lara Nicol is affiliated with Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Lara Nicol was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.