MICHAEL MACKLIN M.D.
NPI 1194287185
Internal Medicine - Rheumatology in Chicago, IL

Q: What is Michael Macklin's NPI number?

The NPI number for Michael Macklin is 1194287185. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Michael Macklin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Michael Macklin was last updated on January 25, 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.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-6119 Get Directions Write a Review

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

Record update history: May 5, 2022, Apr 1, 2019 (2 updates tracked since 2019).

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About Michael Macklin M.d. NPPES

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

MICHAEL MACKLIN M.D. (NPI 1194287185) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (036159238) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2019).

NPPES Registry Identity

NPI1194287185

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameMICHAEL MACKLINCredential: M.D.

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965 · (773) 702-1150

Phone(773) 702-6119

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2019

Enumeration DateApril 1, 2019

Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2024

✔ NPI 1194287185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in IL · 036159238✔ Licensed in IN · 01092345A

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

5841 S MARYLAND AVE, Chicago, IL 60637

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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

Michael Macklin 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 ID2062745516

PECOS Enrollment IDI20240723003833, I20240802000740

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

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

The University Of Chicago Medical Center

Same address

General Acute Care Hospital

5841 S MARYLAND AVE
Chicago, IL 60637

Reassigned Medicare billing, Illinois enrollment
1,905 clinicians in this Medicare group

NPI 1033218128 (773) 702-1530

University Of Chicago

Same address

Multi-Specialty

5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637

Reassigned Medicare billing, Illinois and Indiana enrollments
2,237 clinicians in this Medicare group

NPI 1821048786 (773) 702-9200

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 3

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.

23 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL

2/5 CMS rating

OwnershipPhysician

CMS Certification Number140191

Location1 Ingalls DriveHarvey, IL 60426 · Cook County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

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.

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