DAVID LABOTKA MD
NPI 1205803178
Internal Medicine in Downers Grove, IL

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
5207 MAIN ST, DOWNERS GROVE, IL 60515(630) 435-9888 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Jun 10, 2022 (2 updates tracked since 2022).

About David Labotka Md NPPES

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

DAVID LABOTKA MD (NPI 1205803178) is an individual internal medicine provider in Downers Grove, Illinois, licensed in Illinois (036073531) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1205803178
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID LABOTKACredential: MD
Location Address5207 MAIN STDowners Grove, IL 60515-4652
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 1, 2006
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1205803178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036073531
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5207 MAIN ST, Downers Grove, IL 60515

Other Identifiers 1

Medicaid036073531IL

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

David Labotka 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 ID8921900143
PECOS Enrollment IDI20040127000154
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 31

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
170 services136 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.
169 services129 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
112 services48 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
94 services89 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.
84 services17 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
83 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 74 patients
100%76 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers56 claims177 services$5.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers29 claims33 services$0.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers13 claims78 services$1.62 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 20

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

Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
5207 MAIN ST, STE 5
DOWNERS GROVE, IL 60515
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5207 MAIN ST
DOWNERS GROVE, IL 60515
Nurse Practitioner (Psychiatric/Mental Health)
5207 MAIN ST
DOWNERS GROVE, IL 60515
Internal Medicine
5207 MAIN ST
DOWNERS GROVE, IL 60515
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5207 MAIN ST
DOWNERS GROVE, IL 60515
Physician Assistant
5207 MAIN ST
DOWNERS GROVE, IL 60515

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 David Labotka's NPI number?

The NPI number for David Labotka is 1205803178. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is David Labotka located?

David Labotka practices at 5207 Main St, Downers Grove, IL 60515. The listed phone number is (630) 435-9888.

What is David Labotka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Labotka enrolled in Medicare?

Yes. David Labotka 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.

When was this NPI record last updated?

The NPPES record for David Labotka was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.