DR. JOSEPH W OFISI MD
NPI 1295057610
Surgery in Matteson, IL

NPI Status: Active since February 26, 2010

Contact Information

4747 LINCOLN MALL DR
MATTESON, IL
ZIP 60443
Phone: (708) 898-2700

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  • Individual
  • Male
  • Years of Experience 29
  • Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOSEPH OFISI

This page provides the complete NPI Profile along with additional information for Joseph Ofisi, a provider established in Matteson, Illinois with a medical specialization in Surgery and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1295057610 assigned on February 2010. The practitioner's primary taxonomy code is 208600000X with license number 036.126698 (IL). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1295057610
Provider Name
DR. JOSEPH W OFISI MD
Gender
Male
Entity Type
Individual
Location Address
4747 LINCOLN MALL DR MATTESON, IL 60443
Location Phone
(708) 898-2700
Mailing Address
908 S LAFLIN ST CHICAGO, IL 60607
Mailing Phone
(312) 590-1601
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
Yes
Enumeration Date
02-26-2010
Last Update Date
01-24-2018
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A surgeon like Joseph Ofisi treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Secondary Locations

  • 4747 Lincoln Mall Dr
    Matteson, IL 60443
    (708) 898-2700

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
036.126698
License State
IL
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Medicare Participation & PECOS Enrollment Status

Joseph Ofisi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Joseph Ofisi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3375797830

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130208000269

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    19 DME suppliers used 49 Medicare Claims 175 Services Paid

  • DME-Other DME (DE000N)

    Normal, low and high calibrator solution / chips (HCPCS:A4256)

    5 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    11 DME suppliers used 30 Medicare Claims 46 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)

    1 DME suppliers used 42 Medicare Claims 1600 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing (HCPCS:A6197)

    1 DME suppliers used 14 Medicare Claims 264 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing (HCPCS:A6212)

    1 DME suppliers used 31 Medicare Claims 1290 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6402)

    1 DME suppliers used 43 Medicare Claims 8050 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)

    1 DME suppliers used 17 Medicare Claims 1488 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Tubular dressing with or without elastic, any width, per linear yard (HCPCS:A6457)

    2 DME suppliers used 20 Medicare Claims 260 Services Paid

  • DME-Other DME (DE000N)

    Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories (HCPCS:A6550)

    3 DME suppliers used 21 Medicare Claims 235 Services Paid

  • DME-Other DME (DE000N)

    Canister, disposable, used with suction pump, each (HCPCS:A7000)

    5 DME suppliers used 29 Medicare Claims 174 Services Paid

  • DME-Other DME (DE000N)

    Administration set, with small volume nonfiltered pneumatic nebulizer, disposable (HCPCS:A7003)

    4 DME suppliers used 34 Medicare Claims 68 Services Paid

  • DME-Other DME (DE000N)

    Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable (HCPCS:A7005)

    4 DME suppliers used 22 Medicare Claims 22 Services Paid

  • DME-Other DME (DE000N)

    Filter, disposable, used with aerosol compressor or ultrasonic generator (HCPCS:A7013)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

  • DME-Other DME (DE000N)

    Aerosol mask, used with dme nebulizer (HCPCS:A7015)

    4 DME suppliers used 21 Medicare Claims 24 Services Paid

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)

    2 DME suppliers used 25 Medicare Claims 25 Services Paid

  • DME-Hospital Beds (DB000N)

    Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress (HCPCS:E0261)

    3 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Hospital Beds (DB000N)

    Powered pressure-reducing air mattress (HCPCS:E0277)

    5 DME suppliers used 33 Medicare Claims 37 Services Paid

  • DME-Hospital Beds (DB000N)

    Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress (HCPCS:E0301)

    2 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    5 DME suppliers used 69 Medicare Claims 69 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    6 DME suppliers used 57 Medicare Claims 74 Services Paid

  • DME-Other DME (DE000N)

    Respiratory suction pump, home model, portable or stationary, electric (HCPCS:E0600)

    2 DME suppliers used 28 Medicare Claims 28 Services Paid

  • DME-Other DME (DE000N)

    Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) (HCPCS:E0630)

    2 DME suppliers used 22 Medicare Claims 22 Services Paid

  • DME-Other DME (DE000N)

    Trapeze bars, a/k/a patient helper, attached to bed, with grab bar (HCPCS:E0910)

    1 DME suppliers used 14 Medicare Claims 14 Services Paid

  • DME-Wheelchairs (DD021N)

    Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)

    4 DME suppliers used 13 Medicare Claims 24 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    7 DME suppliers used 125 Medicare Claims 127 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    2 DME suppliers used 24 Medicare Claims 24 Services Paid

  • DME-Other DME (DE000N)

    Negative pressure wound therapy electrical pump, stationary or portable (HCPCS:E2402)

    3 DME suppliers used 13 Medicare Claims 13 Services Paid

  • DME-Wheelchairs (DD000N)

    Lightweight wheelchair (HCPCS:K0003)

    2 DME suppliers used 17 Medicare Claims 17 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    11 DME suppliers used 76 Medicare Claims 80 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    7 DME suppliers used 92 Medicare Claims 92 Services Paid

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe (HCPCS:A5500)

    5 DME suppliers used 13 Medicare Claims 26 Services Paid

Unknown

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4034)

    1 DME suppliers used 20 Medicare Claims 505 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4035)

    3 DME suppliers used 25 Medicare Claims 678 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4036)

    1 DME suppliers used 12 Medicare Claims 360 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Gastrostomy/jejunostomy tube, standard, any material, any type, each (HCPCS:B4087)

    4 DME suppliers used 13 Medicare Claims 13 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)

    2 DME suppliers used 25 Medicare Claims 10889 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4154)

    2 DME suppliers used 30 Medicare Claims 14680 Services Paid

  • Other-Enteral and Parenteral (OB006N)

    Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4155)

    3 DME suppliers used 15 Medicare Claims 1877 Services Paid

  • Other-Enteral and Parenteral (OB005N)

    Enteral nutrition infusion pump, any type (HCPCS:B9002)

    1 DME suppliers used 16 Medicare Claims 16 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)

    9 DME suppliers used 99 Medicare Claims 10590 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of vaccine

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

This service was performed 26 times for 26 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

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.

This service was performed 29 times for 29 patients

Application of vein wound compression bandages on lower leg, ankle, and foot

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

This service was performed 275 times for 120 patients

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 23 times for 21 patients

Aspiration of abscess, blood, or cyst

Aspiration is a procedure where a needle is carefully inserted into an area of abnormal growth or swelling (like an abscess, blood clot, or cyst) to remove fluid. This helps in reducing pain, facilitating healing, and testing the fluid if needed.

This service was performed 115 times for 89 patients

Biopsy of fingernail or toenail

A biopsy of a fingernail or toenail is a medical procedure where a small piece of your nail or the tissue under it is removed for testing. This can help diagnose conditions like infections or skin diseases. The area is numbed for your comfort during the process.

This service was performed 38 times for 34 patients

Biopsy of surface bone

A biopsy of surface bone is a procedure where a small piece of bone tissue is removed for examination. This helps to diagnose conditions such as cancer or infections. It involves a needle or small incision, and may require local or general anesthesia.

This service was performed 32 times for 20 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

This service was performed 14 times for 14 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month

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.

This service was performed 986 times for 278 patients

Complex drainage of wound infection after surgery

Complex drainage of a wound infection after surgery involves carefully removing pus or fluid that has built up due to an infection. This procedure helps to alleviate pain, speed up healing, and prevent the spread of infection. A healthcare professional will use sterile tools and techniques for this process.

This service was performed 67 times for 39 patients

Complicated or multiple drainage of skin abscess

This procedure involves draining one or more skin abscesses, which are pockets of pus that form due to an infection. The process includes making a small cut on the abscess, removing the pus, and cleaning the area to promote healing and prevent further infection.

This service was performed 103 times for 70 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

This service was performed 421 times for 218 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

This service was performed 25 times for 25 patients

Drainage of blood or fluid accumulation

This procedure involves removing excess fluid or blood that has collected in the body due to injury, infection, or disease. A small tube is inserted into the affected area to drain the fluid, which can help reduce pain and promote healing.

This service was performed 47 times for 39 patients

Drainage of deep abscess or blood accumulation of pelvis or hip near joint

This is a procedure where a medical professional removes fluid buildup near the hip or pelvic joint. This could be due to an abscess (a pocket of pus) or a collection of blood. The procedure helps alleviate pain, reduce swelling, and prevent further complications.

This service was performed 21 times for 17 patients

Drainage of deep abscess or blood accumulation of thigh or knee

This procedure involves the removal of a collection of pus or blood in the thigh or knee area. A healthcare professional makes a small incision to access the area, then drains the fluid. This helps relieve pain, reduce swelling, and prevent infection spread. It's a common, safe procedure.

This service was performed 30 times for 23 patients

Drainage of fluid filled sac below connective tissue in foot joint

This procedure involves draining a fluid-filled sac, known as a bursa, located beneath the connective tissue in your foot joint. It's done to relieve discomfort and reduce swelling. A needle is used to remove the excess fluid, providing relief.

This service was performed 48 times for 40 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

This service was performed 16 times for 14 patients

Established patient home visit, typically 25 minutes

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

This service was performed 446 times for 194 patients

Established patient home visit, typically 40 minutes

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.

This service was performed 361 times for 198 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 57 times for 38 patients

Established patient office or other outpatient visit, 40-54 minutes

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.

This service was performed 137 times for 79 patients

Evaluation of use of breathing device

The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.

This service was performed 48 times for 37 patients

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour

This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.

This service was performed 97 times for 66 patients

Infusion into a vein for hydration, 31-60 minutes

This is a procedure where a sterile solution is administered into your vein to help restore body fluid balance. It typically lasts between 31-60 minutes. It's a safe, common treatment for dehydration or to deliver medication.

This service was performed 45 times for 11 patients

Infusion into a vein for hydration, each additional hour

This procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.

This service was performed 45 times for 11 patients

Initial control of nose bleed and insertion of packing

This procedure helps manage a nosebleed. Firstly, the bleeding is controlled by applying pressure on your nostrils. Then, a special material is inserted into your nose to help stop the bleeding and promote healing. This is called nasal packing.

This service was performed 21 times for 20 patients

Injection of drug or substance under skin or into muscle

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

This service was performed 77 times for 11 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 1,553 times for 291 patients

New patient home visit, typically 1 hour

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

This service was performed 22 times for 22 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

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.

This service was performed 39 times for 35 patients

Physician or allowed practitioner re-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 a

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

This service was performed 91 times for 52 patients

Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow

This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.

This service was performed 225 times for 129 patients

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent

This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.

This service was performed 58 times for 25 patients

Pneumococcal vaccine, 23-valent

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

This service was performed 11 times for 11 patients

Removal of bone, 20.0 sq cm or less

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

This service was performed 46 times for 23 patients

Removal of first cyst of wrist

The removal of the first cyst of the wrist involves a procedure to extract a fluid-filled sac that forms on your wrist. It's typically painless, but sometimes it can cause discomfort and affect your wrist's range of motion. The procedure is safe, done under local anesthesia, and aims to provide relief.

This service was performed 19 times for 17 patients

Removal of impacted ear wax

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

This service was performed 46 times for 36 patients

Removal of muscle and/or tissue, 20.0 sq cm or less

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

This service was performed 22 times for 18 patients

Shaving of skin growth of body, arms, or legs, 0.5 cm or less

This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.

This service was performed 25 times for 21 patients

Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm

This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.

This service was performed 34 times for 27 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm

This procedure involves the careful removal of a skin growth between 1.1 to 2.0 cm in size. The growth could be located on the scalp, neck, hands, or feet. The process is done using a sharp instrument to shave off the growth, promoting healthier skin.

This service was performed 33 times for 19 patients

Simple drainage of cyst of tailbone

A simple drainage of a tailbone cyst involves making a small cut in the cyst to allow fluid to escape. This procedure helps to reduce pressure and discomfort. It's done under local anesthesia, meaning you're awake but won't feel pain.

This service was performed 56 times for 36 patients

Simple insertion of temporary bladder tube

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

This service was performed 30 times for 20 patients

Simple or single drainage of skin abscess

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

This service was performed 97 times for 70 patients

Smoking and tobacco use intensive counseling, 4-10 minutes

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

This service was performed 47 times for 33 patients

Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative

This test checks for antibodies in your body that may indicate a past COVID-19 infection. It's not a test for current infection. Antibodies are proteins your body makes in response to infections. The test is usually done with a blood sample.

This service was performed 458 times for 224 patients

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled

This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.

This service was performed 25,304 times for 167 patients

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge

This service involves a healthcare professional traveling to collect necessary lab samples from patients who are homebound or in a nursing home. The travel allowance is a partial charge for the trip made to facilitate this service. It ensures medical care accessibility for all, regardless of mobility.

This service was performed 1,258 times for 139 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $18.7 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 60443 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.06
  • Minimum New Patient Price $60.08
  • Maximum New Patient Price $183.39
  • Average New Patient Copayment $23.51
  • Minimum New Patient Copayment $15.02
  • Maximum New Patient Copayment $45.84

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.8
  • Minimum Established Patient Price $18.97
  • Maximum Established Patient Price $148.12
  • Average Established Patient Copayment $18.7
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295057610, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 0 + 5 + 1 + 4 + 6 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1295057610.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Speech-Language Pathologist
4747 LINCOLN MALL DR, SUITE #302
MATTESON, IL 60443
Speech-Language Pathologist
4747 LINCOLN MALL DR, SUITE #302
MATTESON, IL 60443
Speech-Language Pathologist
4747 LINCOLN MALL DR, SUITE #302
MATTESON, IL 60443
In Home Supportive Care
4747 LINCOLN MALL DR, SUITE 304
MATTESON, IL 60443
Home Health
4747 LINCOLN MALL DR, SUITE 502
MATTESON, IL 60443
Hospice Care, Community Based
4747 LINCOLN MALL DR, SUITE 502
MATTESON, IL 60443
Clinic/Center (Mental Health (Including Community Mental Health Center))
4747 LINCOLN MALL DR, SUITE 604
MATTESON, IL 60443
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4747 LINCOLN MALL DR, SUITE 301
MATTESON, IL 60443
Counselor (Mental Health)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Counselor (Professional)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Counselor (Mental Health)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Social Worker (Clinical)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Social Worker
4747 LINCOLN MALL DR
MATTESON, IL 60443
Social Worker (Clinical)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Home Health
4747 LINCOLN MALL DR, SUITE 305
MATTESON, IL 60443
Counselor (Professional)
4747 LINCOLN MALL DR
MATTESON, IL 60443
Physical Therapist
4747 LINCOLN MALL DR, SUITE #302
MATTESON, IL 60443
Counselor (Mental Health)
4747 LINCOLN MALL DR
MATTESON, IL 60443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295057610, enumerated as an "individual" on February 26, 2010.

The provider is located at 4747 LINCOLN MALL DR MATTESON, IL 60443 and the phone number is (708) 898-2700.

Surgery with taxonomy code 208600000X.