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DR. SARA M GOTHERIDGE M.D.
NPI 1275630238
Psychiatry & Neurology - Psychiatry in Chgo, IL

Active since September 20, 2006Opted out of Medicare · through May 20, 2028
625 N. MICHIGAN AVE, SUITE 2550, CHGO, IL 60611(312) 640-7728(312) 640-7736 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sara M Gotheridge M.d. NPPES

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

DR. SARA M GOTHERIDGE M.D. (NPI 1275630238) is an individual psychiatry provider in Chgo, Illinois, licensed in Illinois (036106285) and active in the NPI registry since September 2006. She has opted out of Medicare through May 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275630238
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SARA M GOTHERIDGECredential: M.D.
Location Address625 N. MICHIGAN AVE, SUITE 2550Chgo, IL 60611
Mailing Address625 N. Michigan Ave, Suite 2550Chgo, IL 60611 · (312) 640-7728 · Fax (312) 640-7736
Phone(312) 640-7728
Fax(312) 640-7736
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1275630238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036106285
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
625 N. MICHIGAN AVE, Chgo, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sara M Gotheridge M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2016 through May 20, 2028.

Opt-Out Effective DateMay 20, 2016
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
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.

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 Sara Gotheridge's NPI number?

The NPI number for Sara Gotheridge is 1275630238. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Sara Gotheridge located?

Sara Gotheridge practices at 625 N. Michigan Ave Suite 2550, Chgo, IL 60611. The listed phone number is (312) 640-7728.

What is Sara Gotheridge's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sara Gotheridge enrolled in Medicare?

No. Sara Gotheridge has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sara Gotheridge was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.