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ANDREA CAROLINA ARTEAGA MD
NPI 1154826584
Ophthalmology - Cornea and External Diseases Specialist in Chicago, IL

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
836 W WELLINGTON AVE STE 5000, CHICAGO, IL 60657(773) 296-8000(312) 996-1934 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Mar 27, 2018 (2 updates tracked since 2018).

About Andrea Carolina Arteaga Md NPPES

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

ANDREA CAROLINA ARTEAGA MD (NPI 1154826584) is an individual cornea and external diseases specialist in Chicago, Illinois, licensed in Illinois (036.160365) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Thorek Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154826584
Entity TypeIndividualFemale
Primary Taxonomy207WX0120X
Provider Legal NameANDREA CAROLINA ARTEAGACredential: MD
Location Address836 W WELLINGTON AVE STE 5000Chicago, IL 60657-5147
Mailing Address4149 N Kenmore Ave Apt 2sChicago, IL 60613-6415 · (312) 731-9484
Phone(773) 296-8000
Fax(312) 996-1934
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1154826584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License✔ Licensed in IL · 036.160365
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
836 W WELLINGTON AVE STE 5000, Chicago, IL 60657
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Andrea Carolina Arteaga 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 ID7113270828
PECOS Enrollment IDI20230922002694
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 Andrea Arteaga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thorek Memorial Hospital
1.2 mi
General Acute Care Hospital
850 W IRVING PARK RD
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1982643961 (773) 525-6780
Ocular Partners PLLC
26 mi
Ophthalmic
2640 183RD ST
Homewood, IL 60430
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1295792901 (708) 798-6633

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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
138 services126 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
111 services111 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.
88 services70 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.
76 services52 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services34 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
27 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Thorek Memorial Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140115
Location850 W Irving Park RdChicago, IL 60613 · Cook County
Emergency services

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 60657 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrea Arteaga's NPI number?

The NPI number for Andrea Arteaga is 1154826584. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Andrea Arteaga located?

Andrea Arteaga practices at 836 W Wellington Ave Ste 5000, Chicago, IL 60657. The listed phone number is (773) 296-8000.

What is Andrea Arteaga's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Andrea Arteaga enrolled in Medicare?

Yes. Andrea Arteaga 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 Andrea Arteaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Arteaga reassigns Medicare benefits to 2 organizations: Thorek Memorial Hospital (Chicago, IL) and Ocular Partners PLLC (Homewood, 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 Andrea Arteaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Arteaga accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Andrea Arteaga 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 Andrea Arteaga affiliated with any hospitals?

According to CMS data, Andrea Arteaga is affiliated with Thorek Memorial Hospital and Advocate Illinois Masonic Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Arteaga was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.