ANNE MICHAEL LANGGUTH MD
NPI 1255742300
Ophthalmology in Chicago, IL

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
87.05/100
CMS Quality Rating
225 E CHICAGO AVE, CHICAGO, IL 60611(800) 543-7362(312) 227-9411 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2024, Jan 4, 2024, Jul 3, 2019 and 3 more (6 updates tracked since 2016).

About Anne Michael Langguth Md NPPES

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

ANNE MICHAEL LANGGUTH MD (NPI 1255742300) is an individual ophthalmology provider in Chicago, Illinois, licensed in Iowa (MD-45225) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255742300
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameANNE MICHAEL LANGGUTHCredential: MD
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (800) 543-7362
Fax(312) 227-9411
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2014
Enumeration DateMay 12, 2014
Last NPPES UpdateAugust 29, 20246 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1255742300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IA · MD-45225 Licensed in IA · 45225
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 036166590 (IL)
225 E CHICAGO AVE, Chicago, IL 60611

Secondary Practice Locations 2

Location 1225 E Chicago AveChicago, IL 60611-2991 · Phone (800) 543-7362 · Fax (312) 227-9411
Location 2259 E Erie St Ste 1520Chicago, IL 60611-3111 · Phone (312) 695-8150 · Fax (312) 695-3652

Accepted Insurance

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

Anne Michael Langguth 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 ID2668776402
PECOS Enrollment IDI20231026000892
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
44 services37 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.
18 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

87.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.58
Promoting Interoperability82.55
Improvement Activities40

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.

Pediatrics (Developmental - Behavioral Pediatrics)
225 E CHICAGO AVE, BOX 16
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE, BOX 157
CHICAGO, IL 60611
Pediatrics (Pediatric Critical Care Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE, BOX 152
CHICAGO, IL 60611
Pediatrics (Pediatric Endocrinology)
225 E CHICAGO AVE, BOX 54
CHICAGO, IL 60611
General Acute Care Hospital (Children)
225 E CHICAGO AVE
CHICAGO, IL 60611
Pediatrics (Pediatric Critical Care Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Chronic Disease Hospital (Children)
225 E CHICAGO AVE
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255742300, enumerated as an "individual" on May 12, 2014.

The provider is located at 225 E CHICAGO AVE CHICAGO, IL 60611 and the phone number is (800) 543-7362.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.

Anne Langguth is affiliated with: NORTHWESTERN MEMORIAL HOSPITAL.