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LAWRENCE GLUSKIN MD
NPI 1235109711
Internal Medicine - Gastroenterology in Chicago, IL

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
85.09/100
CMS Quality Rating
2800 N SHERIDAN RD, SUITE 510, CHICAGO, IL 60657(773) 248-1616(773) 248-4343 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lawrence Gluskin Md NPPES

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

LAWRENCE GLUSKIN MD (NPI 1235109711) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036059381) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1978).

NPPES Registry Identity

NPI1235109711
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLAWRENCE GLUSKINCredential: MD
Location Address2800 N SHERIDAN RD, SUITE 510Chicago, IL 60657-6156
Mailing Address2800 N Sheridan Rd, Suite 510Chicago, IL 60657-6156 · (773) 248-1616 · Fax (773) 248-4343
Phone(773) 248-1616
Fax(773) 248-4343
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1978
Enumeration DateJanuary 25, 2006
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1235109711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036059381
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2800 N SHERIDAN RD, Chicago, IL 60657
Open in Google Maps ↗

Other Identifiers 1

Medicaid0360593811IL

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

Lawrence Gluskin 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 ID5193815223
PECOS Enrollment IDI20071213000226
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 Reassignment

Medicare enrollment records show Lawrence Gluskin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Illinois Gastroenterology Group, LLC
37 mi
Gastroenterology
745 FLETCHER DRIVE
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 235 clinicians in this Medicare group
NPI 1316277817 (847) 888-1300

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 10

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.
177 services109 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
95 services95 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
60 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
32 services32 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.
30 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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.

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.

85.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.16
Promoting Interoperability99
Improvement Activities40
Cost77.98

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%97 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%199 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%496 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
21%166 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%166 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%370 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%187 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
21%370 patients1/55-star benchmark: 96%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 166 patients
0%166 patients5/55-star benchmark: 100%
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.

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. MARTIN ALAN HIRSCH D.M.D.
Dentist (Prosthodontics)
2800 N SHERIDAN RD, SUITE 204
CHICAGO, IL 60657
Cook County (773) 248-6140
CARDIOMEDICAL ASSOC, LTD.
Specialist
2800 N SHERIDAN RD, SUITE 100
CHICAGO, IL 60657
Cook County (773) 929-1900
RUPERTO MAYUGA M.D.
Internal Medicine (Cardiovascular Disease)
2800 N SHERIDAN RD, SUITE 303
CHICAGO, IL 60657
Cook County (773) 281-7660
DR. THEODORE B HANDRUP MD
Psychiatry & Neurology (Psychiatry)
2800 N SHERIDAN RD, SUITE 502
CHICAGO, IL 60657
Cook County (773) 472-1483
DR. HOURI H SHAFAIE DDS
Dentist
2800 N SHERIDAN RD, SUITE 400
CHICAGO, IL 60657
Cook County (773) 880-5080
DR. SCOTT PORTER NEELEY
Internal Medicine (Pulmonary Disease)
2800 N SHERIDAN RD, STE 301
CHICAGO, IL 60657
Cook County (773) 935-5556
DR. KAMAL K CHAWLA MD
Internal Medicine (Interventional Cardiology)
2800 N SHERIDAN RD, SUITE 510
CHICAGO, IL 60657
Cook County (773) 348-7555
MISS SANGINI DINESH PATEL PAC
Dermatology
2800 N SHERIDAN RD, SUITE #210
CHICAGO, IL 60657
Cook County (773) 281-0046

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 Lawrence Gluskin's NPI number?

The NPI number for Lawrence Gluskin is 1235109711. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Lawrence Gluskin located?

Lawrence Gluskin practices at 2800 N Sheridan Rd Suite 510, Chicago, IL 60657. The listed phone number is (773) 248-1616.

What is Lawrence Gluskin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lawrence Gluskin enrolled in Medicare?

Yes. Lawrence Gluskin 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.

Which organization bills Medicare for Lawrence Gluskin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Gluskin reassigns Medicare benefits to Illinois Gastroenterology Group, LLC (Elgin, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Gluskin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Gluskin accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lawrence Gluskin 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 Lawrence Gluskin affiliated with any hospitals?

According to CMS data, Lawrence Gluskin is affiliated with Presence Saint Francis Hospital and Presence Saint Joseph Hospital - Chicago.

When was this NPI record last updated?

The NPPES record for Lawrence Gluskin was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.