EDWARD FOLEY MD
NPI 1164440475
Family Medicine in Berwyn, IL

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
3231 EUCLID AVE FL 5, BERWYN, IL 60402(708) 783-2000 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Foley Md NPPES

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

EDWARD FOLEY MD (NPI 1164440475) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036-069393) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Chicago College Of Medicine And Surgery (1983).

NPPES Registry Identity

NPI1164440475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWARD FOLEYCredential: MD
Location Address3231 EUCLID AVE FL 5Berwyn, IL 60402-4603
Mailing Address2368 Paysphere CirChicago, IL 60674-2368
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1983
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1164440475 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 · 036-069393
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.
3231 EUCLID AVE FL 5, Berwyn, IL 60402

Other Identifiers 1

Medicaid036069393IL

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

Edward Foley 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 ID1557553120
PECOS Enrollment IDI20101014000712
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 9

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.
78 services55 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.
49 services43 patients
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.
45 services16 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
21 services15 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.
18 services18 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.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60402 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims26 services$5.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims11 services$0.62 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 15

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

Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine (Sports Medicine)
3231 EUCLID AVE FL 5
BERWYN, IL 60402
Family Medicine
3231 EUCLID AVE FL 5
BERWYN, IL 60402

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 Edward Foley's NPI number?

The NPI number for Edward Foley is 1164440475. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Edward Foley located?

Edward Foley practices at 3231 Euclid Ave Fl 5, Berwyn, IL 60402. The listed phone number is (708) 783-2000.

What is Edward Foley's specialty?

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

Is Edward Foley enrolled in Medicare?

Yes. Edward Foley 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 Edward Foley accept?

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

According to CMS data, Edward Foley is affiliated with Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Foley was last updated on September 1, 2022. 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.