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DR. JYOTHI GOGINENI M.D.
NPI 1265624282
Internal Medicine - Endocrinology, Diabetes & Metabolism in Huntley, IL

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10370 HALIGUS RD STE 117, HUNTLEY, IL 60142(815) 338-6600(847) 702-7207 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2018, May 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jyothi Gogineni M.d. NPPES

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

DR. JYOTHI GOGINENI M.D. (NPI 1265624282) is an individual endocrinology, diabetes & metabolism provider in Huntley, Illinois, licensed in Illinois (036-122492) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Crystal Lake.

NPPES Registry Identity

NPI1265624282
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. JYOTHI GOGINENICredential: M.D.
Location Address10370 HALIGUS RD STE 117Huntley, IL 60142
Mailing Address10370 Haligus Rd Ste 117Huntley, IL 60142-9582 · (815) 338-6600 · Fax (847) 702-7207
Phone(815) 338-6600
Fax(847) 702-7207
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 14, 2007
Last NPPES UpdateOctober 19, 20184 updates tracked since enumeration
✔ NPI 1265624282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IL · 036-122492
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
10370 HALIGUS RD STE 117, Huntley, IL 60142
Open in Google Maps ↗

Secondary Practice Location 1

Location 1360 Station Dr Fl 3Crystal Lake, IL 60014-7978 · Phone (815) 338-6600 · Fax (815) 356-2388

Other Identifiers 1

Other036122492IL · State License

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. Jyothi Gogineni 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 ID8729139597
PECOS Enrollment IDI20090708000266
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 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
7,380 services77 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.
832 services522 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
399 services178 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
124 services78 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
113 services94 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.
60 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry 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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

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

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60142 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
64%376 patients3/55-star benchmark: 93%
Cervical Cancer Screening
52%813 patients3/55-star benchmark: 98%
Controlling High Blood Pressure
65%289 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
40%297 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
29%297 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
86%4,978 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
11%73 patients1/55-star benchmark: 100%
HIV Screening
5%1,265 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
19%1,312 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
40%1,085 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%3,131 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 835 patients
Patients screened: 91% · 835 patients
23%64 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
9%710 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%315 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 79 patients
Patients totalRate: 6% · 84 patients
8%84 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers57 claims711 services$18.28 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers55 claims1,775 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
44 suppliers290 claims1,091 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers115 claims203 services$1.03 avg. paid by Medicare
Home blood glucose monitor E0607
DME-Other DME · category DE017N
13 suppliers13 claims13 services$16.59 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers58 claims58 services$304.77 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 2

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

PRATHAYINI SUBARAJAN DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10370 HALIGUS RD STE 117
HUNTLEY, IL 60142
McHenry County (815) 344-3900
DR. TEJAL UDAY SHAH M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
10370 HALIGUS RD STE 117
HUNTLEY, IL 60142
McHenry County (815) 344-3900

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 Jyothi Gogineni's NPI number?

The NPI number for Jyothi Gogineni is 1265624282. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Jyothi Gogineni located?

Jyothi Gogineni practices at 10370 Haligus Rd Ste 117, Huntley, IL 60142. The listed phone number is (815) 338-6600.

What is Jyothi Gogineni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jyothi Gogineni enrolled in Medicare?

Yes. Jyothi Gogineni 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 Jyothi Gogineni affiliated with any hospitals?

According to CMS data, Jyothi Gogineni is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital, Northwestern Memorial Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Jyothi Gogineni was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.