SCOTT A REISHUS DO
NPI 1245210160
Surgery - Vascular Surgery in Downers Grove, IL

Q: What is Scott Reishus's NPI number?

The NPI number for Scott Reishus is 1245210160. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Scott Reishus's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Scott Reishus was last updated on June 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 January 18, 2006PECOS EnrolledAccepts Medicare Assignment

3825 HIGHLAND AVE, DOWNERS GROVE, IL 60515(630) 275-7800 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2024, Feb 8, 2024 (2 updates tracked since 2024).

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About Scott A Reishus Do NPPES

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

SCOTT A REISHUS DO (NPI 1245210160) is an individual vascular surgery provider in Downers Grove, Illinois, licensed in Illinois (036089311) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and maintains a secondary practice location in North Aurora.

NPPES Registry Identity

NPI1245210160

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameSCOTT A REISHUSCredential: DO

Location Address3825 HIGHLAND AVEDowners Grove, IL 60515-1552

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(630) 275-7800

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1992

Enumeration DateJanuary 18, 2006

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1245210160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in IL · 036089311

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 036089311 (IL)

3825 HIGHLAND AVE, Downers Grove, IL 60515

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Secondary Practice Location 1

Location 182 Miller Dr Ste 102North Aurora, IL 60542-5142 · Phone (630) 907-2424

Other Identifiers 3

Other36089311IL · Bcbs

Medicaid36089311IL

Other205524Medicare

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

Scott A Reishus Do 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 ID1557486776

PECOS Enrollment IDI20100911000091

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 Scott Reishus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

Same address

Cardiovascular Disease

3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1003542184 (Illinois)
4,870 clinicians in this Medicare group

NPI 1285903849 (630) 719-4799

Mount Sinai Community Foundation

11 mi

Internal Medicine

610 S MAPLE AVE, STE 2100
Oak Park, IL 60304

Reassigned Medicare billing, Illinois enrollment
646 clinicians in this Medicare group

NPI 1215046347 (708) 848-7373

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 13

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.

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.

83 services80 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.

55 services49 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.

54 services54 patients

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.

37 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Insertion of stent and blood clot protection device in neck artery with review by radiologist 37215

This procedure involves placing a small mesh tube, or stent, in your neck artery to ensure blood flow. A protective device is also inserted to prevent blood clots from reaching the brain. A radiologist reviews the procedure to ensure everything is in place correctly.

20 services20 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.

20 services20 patients

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.

19 services17 patients

Exposure of thigh artery for insertion of prosthesis 34812

This procedure involves revealing the artery in your thigh to place a synthetic device, a prosthesis. It's often performed to improve blood flow or replace a damaged section of the artery. The goal is to enhance your overall health.

17 services16 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.

15 services15 patients

Repair of infrarenal aorta and groin artery with graft for other than rupture on both sides with review by radiologist 34705

This procedure involves repairing the aorta (main blood vessel) below the kidneys and the artery in the groin using a graft. The graft is a special tube that replaces the damaged part of the blood vessel. A radiologist will review the procedure to ensure accuracy.

14 services14 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.

14 services14 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140288

Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County

Emergency services Birthing friendly

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

$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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

1%176 patients1/55-star benchmark: 92%

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.

100%1,082 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%316 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

79%646 patients4/55-star benchmark: 97%

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…

25%490 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 99% · 334 patients

Patients tobacco: 10% · 21 patients

85%193 patients4/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

47%646 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%646 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

11%646 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.

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.

PETER MICHAEL KERWIN MD

Internal Medicine (Interventional Cardiology)

3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515

Dupage County (630) 719-4799

BARRY SADEGI M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515

Dupage County (630) 434-9300

STEPHEN MICHAEL ROWLEY MD

Internal Medicine (Cardiovascular Disease)

3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515

Dupage County (630) 719-4799

DR. KOTESWARA RAO BATCHU M.D.

Legal Medicine

3825 HIGHLAND AVE, SUITE 4B
DOWNERS GROVE, IL 60515

Dupage County (630) 963-4990

BARRY SADEGI, M.D., S.C.

Obstetrics & Gynecology

3825 HIGHLAND AVE, 3B
DOWNERS GROVE, IL 60515

Dupage County (630) 434-9300

DR. PAUL J WEST M.D.

Urology

3825 HIGHLAND AVE, SUITE 207
DOWNERS GROVE, IL 60515

Dupage County (630) 960-1498

DR. CYNTHIA ANN WOLLENSCHLAGER M.D.

Internal Medicine (Infectious Disease)

3825 HIGHLAND AVE, TOWER I, SUITE 3F
DOWNERS GROVE, IL 60515

Dupage County (630) 971-9275

MATTHEW OSCEOLA NORA MD

Internal Medicine (Clinical Cardiac Electrophysiology)

3825 HIGHLAND AVE, TOWER 2 SUITE 400
DOWNERS GROVE, IL 60515

Dupage County (630) 719-4799

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 Scott Reishus's NPI number?

The NPI number for Scott Reishus is 1245210160. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Scott Reishus located?

Scott Reishus practices at 3825 Highland Ave, Downers Grove, IL 60515. The listed phone number is (630) 275-7800.

What is Scott Reishus's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Scott Reishus enrolled in Medicare?

Yes. Scott Reishus 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 organizations bill Medicare for Scott Reishus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Reishus reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL) and Mount Sinai Community Foundation (Oak Park, IL). Each 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 Scott Reishus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Reishus accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Scott Reishus 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 Scott Reishus affiliated with any hospitals?

According to CMS data, Scott Reishus is affiliated with Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Scott Reishus was last updated on June 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.