ADAM GAFNI-KANE MD
NPI 1275704256
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Skokie, IL

Active since March 18, 2008PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076(224) 251-2374(847) 933-3531 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Oct 23, 2019, Oct 31, 2018 and 1 more (4 updates tracked since 2016).

About Adam Gafni-kane Md NPPES

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

ADAM GAFNI-KANE MD (NPI 1275704256) is an individual urogynecology and reconstructive pelvic surgery provider in Skokie, Illinois, licensed in Illinois (036122993) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1275704256
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameADAM GAFNI-KANECredential: MD
Location Address9650 GROSS POINT RD STE 3900Skokie, IL 60076
Mailing Address9650 Gross Point Rd Ste 3900Skokie, IL 60076-1214 · (224) 251-2374 · Fax (847) 933-3531
Fax(847) 933-3531
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2005
Enumeration DateMarch 18, 2008
Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1275704256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in IL · 036122993
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036122993 (IL)
9650 GROSS POINT RD STE 3900, Skokie, IL 60076

Secondary Practice Location 1

Location 19650 Gross Point Rd Ste 3900Skokie, IL 60076-1214 · Phone (224) 251-2374

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

Adam Gafni-kane 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 ID1456507862
PECOS Enrollment IDI20120816000809
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 14

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.

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.
409 services290 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.
123 services123 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
84 services81 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.
84 services67 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.
47 services33 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure studies 51727
This procedure measures the pressure in your bladder as it fills and empties. It helps to assess how well your bladder and urinary passage work together. It involves the use of small tubes and sensors, ensuring a safe and thorough evaluation.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
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.

Physician Assistant (Surgical)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Surgery (Trauma Surgery)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Physician Assistant (Surgical)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Surgery (Trauma Surgery)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Surgery (Surgical Critical Care)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Nurse Practitioner
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Internal Medicine (Gastroenterology)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076

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 Adam Gafni-kane's NPI number?

The NPI number for Adam Gafni-kane is 1275704256. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Where is Adam Gafni-kane located?

Adam Gafni-kane practices at 9650 Gross Point Rd Ste 3900, Skokie, IL 60076. The listed phone number is (224) 251-2374.

What is Adam Gafni-kane's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Adam Gafni-kane enrolled in Medicare?

Yes. Adam Gafni-kane 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.

What insurance does Adam Gafni-kane accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Adam Gafni-kane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adam Gafni-kane affiliated with any hospitals?

According to CMS data, Adam Gafni-kane is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Adam Gafni-kane was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.