DR. JAMES M CARUSO MD
NPI 1275524449
Family Medicine in Chicago, IL

Active since November 04, 2005
73.05/100
CMS Quality Rating
4939 W FULLERTON AVE, CHICAGO, IL 60639(630) 922-4155 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James M Caruso Md NPPES

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

DR. JAMES M CARUSO MD (NPI 1275524449) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036082576) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1275524449
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES M CARUSOCredential: MD
Location Address4939 W FULLERTON AVEChicago, IL 60639-2505
Mailing Address2408 Shaker CtNaperville, IL 60564-8449 · (630) 922-4155
Sole ProprietorYes
Enumeration DateNovember 4, 2005
Last NPPES UpdateApril 5, 2016
NPI 1275524449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036082576
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4939 W FULLERTON AVE, Chicago, IL 60639

Areas of Expertise CMS Part B claims 9

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,229 services235 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,184 services176 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
191 services189 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
158 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
129 services129 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.
101 services72 patients

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.

73.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.94
Improvement Activities40
Cost34.25

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
1%173 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
5%109 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
59%91 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%61 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
52%61 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
84%2,164 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%284 patients1/55-star benchmark: 100%
HIV Screening
3%34 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%178 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%1,056 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 324 patients
0%324 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%162 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 292 patients
Patients totalRate: 18% · 297 patients
17%297 patients3/55-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 12

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

Non-emergency Medical Transport (VAN)
4939 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker
4939 W FULLERTON AVE
CHICAGO, IL 60639
Counselor (Mental Health)
4939 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
4939 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker
4939 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
4939 W FULLERTON AVE
CHICAGO, IL 60639
Social Worker (Clinical)
4939 W FULLERTON AVE
CHICAGO, IL 60639
Counselor (Professional)
4939 W FULLERTON AVE
CHICAGO, IL 60639

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 James Caruso's NPI number?

The NPI number for James Caruso is 1275524449. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is James Caruso located?

James Caruso practices at 4939 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (630) 922-4155.

What is James Caruso's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for James Caruso was last updated on April 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.