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VAIDOTAS PETRUS MD
NPI 1154513505
Hospitalist in Chicago, IL

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5145 N CALIFORNIA AVE STE M276, CHICAGO, IL 60625(773) 878-8200(773) 293-4171 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Oct 30, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Vaidotas Petrus Md NPPES

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

VAIDOTAS PETRUS MD (NPI 1154513505) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036118601) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1154513505
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameVAIDOTAS PETRUSCredential: MD
Location Address5145 N CALIFORNIA AVE STE M276Chicago, IL 60625-3661
Mailing Address2740 W Foster Ave, Ste Ll7Chicago, IL 60625-3543 · (773) 878-8200 · Fax (773) 293-4197
Phone(773) 878-8200
Fax(773) 293-4171
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 9, 2007
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1154513505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036118601
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036118601 (IL)
5145 N CALIFORNIA AVE STE M276, Chicago, IL 60625
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Other Names 1

Former Name (1)Vaidotas Petruskevicius Md

Secondary Practice Location 1

Location 16225 W Touhy AveChicago, IL 60646-1105 · Phone (773) 631-2223 · Fax (773) 631-5607

Other Identifiers 3

Other1619784Bcbs#
Other1620633Bcbs#
Other336079735IL · Controlled Substance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vaidotas Petrus 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 ID9032204193
PECOS Enrollment IDI20071004000095
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vaidotas Petrus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Covenant Management Services, Inc.
Same address
Obstetrics & Gynecology
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1760432348 (847) 570-2040
Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
192 services97 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
51 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services47 patients
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.
48 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier13 claims13 services$9.90 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$36.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims27 services$65.23 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 2

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

GREGORY ANDERSON DO
Hospitalist
5145 N CALIFORNIA AVE STE M276
CHICAGO, IL 60625
Cook County (773) 878-8200
NATALIA GALKINE M.D.
Hospitalist
5145 N CALIFORNIA AVE STE M276
CHICAGO, IL 60625
Cook County (773) 878-8200

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 Vaidotas Petrus's NPI number?

The NPI number for Vaidotas Petrus is 1154513505. It was assigned to this individual provider in the NPPES registry on August 9, 2007. The provider is also known as Vaidotas Petruskevicius MD.

Where is Vaidotas Petrus located?

Vaidotas Petrus practices at 5145 N California Ave Ste M276, Chicago, IL 60625. The listed phone number is (773) 878-8200.

What is Vaidotas Petrus's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Vaidotas Petrus enrolled in Medicare?

Yes. Vaidotas Petrus 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.

Which organizations bill Medicare for Vaidotas Petrus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vaidotas Petrus reassigns Medicare benefits to 2 organizations: Swedish Covenant Management Services, Inc. (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vaidotas Petrus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vaidotas Petrus accept?

Health plans from Oscar Health list Vaidotas Petrus 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 Vaidotas Petrus affiliated with any hospitals?

According to CMS data, Vaidotas Petrus is affiliated with Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Vaidotas Petrus was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.