CAITLIN MCGINNESS
NPI 1285175836
Nurse Practitioner - Family in Oak Park, IL

Active since March 15, 2017PECOS EnrolledAccepts Medicare Assignment
610 S MAPLE AVE STE 5500, OAK PARK, IL 60304(708) 660-2328 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Mar 15, 2017 (2 updates tracked since 2017).

About Caitlin Mcginness NPPES

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

CAITLIN MCGINNESS (NPI 1285175836) is an individual family provider in Oak Park, Illinois, licensed in Illinois (209028097) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1285175836
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLIN MCGINNESS
Location Address610 S MAPLE AVE STE 5500Oak Park, IL 60304-2808
Mailing Address610 S Maple Ave Ste 5500Oak Park, IL 60304-2808 · (708) 660-2328
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 15, 2017
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1285175836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209028097
Also ListedRegistered NurseTaxonomy 163W00000X · License RN149218 (LA)
610 S MAPLE AVE STE 5500, Oak Park, IL 60304

Secondary Practice Location 1

Location 11050 S Jefferson Davis Pkwy, suite 325New Orleans, LA 70125-1200 · Phone (504) 717-3612

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

Caitlin Mcginness 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 ID9638526379
PECOS Enrollment IDI20231116003573
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 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
133 services105 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.
46 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60304 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 5

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

Pediatrics (Pediatric Allergy/Immunology)
610 S MAPLE AVE STE 5500
OAK PARK, IL 60304
Nurse Practitioner (Primary Care)
610 S MAPLE AVE STE 5500
OAK PARK, IL 60304
Family Medicine
610 S MAPLE AVE STE 5500
OAK PARK, IL 60304
Internal Medicine (Cardiovascular Disease)
610 S MAPLE AVE STE 5500
OAK PARK, IL 60304
Surgery (Plastic and Reconstructive Surgery)
610 S MAPLE AVE STE 5500
OAK PARK, IL 60304

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 Caitlin Mcginness's NPI number?

The NPI number for Caitlin Mcginness is 1285175836. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Caitlin Mcginness located?

Caitlin Mcginness practices at 610 S Maple Ave Ste 5500, Oak Park, IL 60304. The listed phone number is (708) 660-2328.

What is Caitlin Mcginness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caitlin Mcginness enrolled in Medicare?

Yes. Caitlin Mcginness 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 Caitlin Mcginness affiliated with any hospitals?

According to CMS data, Caitlin Mcginness is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Caitlin Mcginness was last updated on September 6, 2023. 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.