DR. ROBERT BRIZZOLARA M.D.
NPI 1265677199
Internal Medicine in Crystal Lake, IL

Q: What is Robert Brizzolara's NPI number?

The NPI number for Robert Brizzolara is 1265677199. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Q: What is Robert Brizzolara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Brizzolara was last updated on October 31, 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 December 05, 2008PECOS EnrolledAccepts Medicare Assignment

650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012(815) 455-6000 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2020, Jun 23, 2017 (2 updates tracked since 2017).

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About Dr. Robert Brizzolara M.d. NPPES

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

DR. ROBERT BRIZZOLARA M.D. (NPI 1265677199) is an individual internal medicine provider in Crystal Lake, Illinois, licensed in South Carolina (83816) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains a secondary practice location in High Point.

NPPES Registry Identity

NPI1265677199

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ROBERT BRIZZOLARACredential: M.D.

Location Address650 DAKOTA ST STE ACrystal Lake, IL 60012-3744

Mailing Address650 Dakota St Ste ACrystal Lake, IL 60012-3744

Phone(815) 455-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateDecember 5, 2008

Last NPPES UpdateOctober 31, 20242 updates tracked since enumeration

NPPES CertifiedOctober 31, 2024

✔ NPI 1265677199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in SC · 83816✔ Licensed in IL · 036121936

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 036121936 (IL), 2019-01928 (NC)

650 DAKOTA ST STE A, Crystal Lake, IL 60012

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Secondary Practice Location 1

Location 1601 N Elm StHigh Point, NC 27262-4331 · Phone (336) 716-2255

Other Identifiers 1

Other036121936IL · State License

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

Dr. Robert Brizzolara 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 ID6608931217

PECOS Enrollment IDI20191230001347, I20200923001386

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 Robert Brizzolara reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Medical Group Inc

544 mi

Cardiovascular Disease

200 HOSPITAL AVE
Jefferson, NC 28640

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Novant Health Medical Group, LLC
2,998 clinicians in this Medicare group

NPI 1952739450 (704) 384-7603

Blue Ridge Healthcare Medical Group, Inc.

564 mi

Orthopaedic Surgery

1135 N MAIN STREET
Marion, NC 28752

Reassigned Medicare billing, North Carolina enrollment
322 clinicians in this Medicare group

NPI 1659513489 (828) 652-2111

Caromont Medical Group Inc

603 mi

Family Medicine

910 E CHURCH ST STE A
Cherryville, NC 28021

Reassigned Medicare billing, North Carolina enrollment
673 clinicians in this Medicare group

NPI 1124207725 (704) 445-0422

24 On Physicians, PC

615 mi

Hospitalist

800 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
146 clinicians in this Medicare group

NPI 1588613343 (800) 923-2247

Sc Hospital Medicine Physicians LLC

660 mi

Emergency Medicine

800 W MEETING ST
Lancaster, SC 29720

Reassigned Medicare billing, South Carolina enrollment
59 clinicians in this Medicare group

NPI 1326677915 (803) 286-1214

Musc Community Physicians

733 mi

Internal Medicine

506 NORTH ST
Bamberg, SC 29003

Reassigned Medicare billing, South Carolina enrollment
2,389 clinicians in this Medicare group

NPI 1841878006 (803) 245-6290

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 5

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 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.

129 services128 patients

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.

121 services118 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.

66 services43 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services14 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston County

Emergency services Birthing friendly

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420036

Location800 W Meeting StLancaster, SC 29720 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60012 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%342 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 16

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

JORGE ROMAN

Social Worker (Clinical)