DR. MARY ANN DECOTEAU M.D.
NPI 1164785580
Surgery in North Chicago, IL

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064(215) 662-7320 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Oct 30, 2023, Feb 12, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Mary Ann Decoteau M.d. NPPES

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

DR. MARY ANN DECOTEAU M.D. (NPI 1164785580) is an individual surgery provider in North Chicago, Illinois, licensed in Pennsylvania (MD476305) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2012).

NPPES Registry Identity

NPI1164785580
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. MARY ANN DECOTEAUCredential: M.D.
Location Address3001 GREEN BAY RDNorth Chicago, IL 60064-3048
Mailing Address3001 Green Bay RdNorth Chicago, IL 60064-3048 · (619) 249-3384
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1164785580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in PA · MD476305 Licensed in FL · ME147113
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3001 GREEN BAY RD, North Chicago, IL 60064

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

Dr. Mary Ann Decoteau 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 ID4587057245
PECOS Enrollment IDI20220202001264
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 4

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.
57 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 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.
26 services26 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.
26 services16 patients

Hospital Affiliations CMS Care Compare

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
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.

Anesthesiology (Critical Care Medicine)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Physician Assistant
3001 GREEN BAY RD, CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY
NORTH CHICAGO, IL 60064
Internal Medicine
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Psychiatry)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Psychiatry & Neurology (Neurology)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064
Social Worker (Clinical)
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064

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 Mary Decoteau's NPI number?

The NPI number for Mary Decoteau is 1164785580. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Mary Decoteau located?

Mary Decoteau practices at 3001 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (215) 662-7320.

What is Mary Decoteau's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mary Decoteau enrolled in Medicare?

Yes. Mary Decoteau 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 Mary Decoteau accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Decoteau 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 Mary Decoteau affiliated with any hospitals?

According to CMS data, Mary Decoteau is affiliated with Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Decoteau was last updated on May 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.