DR. NICOLE ELIZABETH BOGDANOVICH M.D.
NPI 1215385083
Family Medicine in Evanston, IL

Q: What is Nicole Bogdanovich's NPI number?

The NPI number for Nicole Bogdanovich is 1215385083. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Nicole Bogdanovich's specialty?

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

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

2650 RIDGE AVE, SUITE 1304, EVANSTON, IL 60201(847) 363-0504 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nicole Elizabeth Bogdanovich M.d. NPPES

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

DR. NICOLE ELIZABETH BOGDANOVICH M.D. (NPI 1215385083) is an individual family medicine provider in Evanston, Illinois, licensed in Illinois (036155774) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215385083

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICOLE ELIZABETH BOGDANOVICHCredential: M.D.

Location Address2650 RIDGE AVE, SUITE 1304Evanston, IL 60201-1718

Mailing Address180 Harvester Dr, Suite 110Burr Ridge, IL 60527-7594 · (773) 702-1150

Phone(847) 363-0504

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 1, 2016

Last NPPES UpdateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1215385083 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 · 036155774

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.

2650 RIDGE AVE, Evanston, IL 60201

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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. Nicole Elizabeth Bogdanovich 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 ID4486945078

PECOS Enrollment IDI20210507000046

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.

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.

86 services54 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.

33 services33 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.

23 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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.

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.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

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.

DR. THOMAS LEE CIBULL M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201

Cook County (847) 570-2040

DR. DANIEL K. WEST MD

Radiology (Diagnostic Radiology)

2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201

Cook County (847) 570-2475

JOEL BERNSTEIN M.D.

Radiology (Diagnostic Radiology)

2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201

Cook County (847) 570-1206

MATTHEW R. SHERWOOD MD

Internal Medicine

2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201

Cook County (847) 570-1010

MICHAEL T. GILLAM M.D.

Emergency Medicine

2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201

Cook County (847) 570-2114

MARLENE ANGELICO CNP

Nurse Practitioner (Acute Care)

2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201

Cook County (847) 570-1355

DR. SADIE ANNE LAPONSIE M.D.

Pediatrics

2650 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 570-2000

ANNE PEIFFER MD

Obstetrics & Gynecology

2650 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 570-3624

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 Nicole Bogdanovich's NPI number?

The NPI number for Nicole Bogdanovich is 1215385083. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Nicole Bogdanovich located?

Nicole Bogdanovich practices at 2650 Ridge Ave Suite 1304, Evanston, IL 60201. The listed phone number is (847) 363-0504.

What is Nicole Bogdanovich's specialty?

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

Is Nicole Bogdanovich enrolled in Medicare?

Yes. Nicole Bogdanovich 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.

Is Nicole Bogdanovich affiliated with any hospitals?

According to CMS data, Nicole Bogdanovich is affiliated with Northshore University Healthsystem - Evanston Hospital and Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Bogdanovich was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.