DR. MICHELLE DOSCAS MD
NPI 1306343421
Family Medicine - Sports Medicine in Chicago, IL

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
5425 W LAKE ST, CHICAGO, IL 60644(708) 434-4007 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, Aug 25, 2021 (2 updates tracked since 2021).

About Dr. Michelle Doscas Md NPPES

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

DR. MICHELLE DOSCAS MD (NPI 1306343421) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036176999) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2018).

NPPES Registry Identity

NPI1306343421
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameDR. MICHELLE DOSCASCredential: MD
Location Address5425 W LAKE STChicago, IL 60644-2342
Mailing Address5425 W Lake StChicago, IL 60644-2342 · (708) 434-4007
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1306343421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in IL · 036176999
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
5425 W LAKE ST, Chicago, IL 60644

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

Dr. Michelle Doscas 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 ID5991100448
PECOS Enrollment IDI20251029000686
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 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services44 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.
50 services41 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60644 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.

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Social Worker (Clinical)
5425 W LAKE ST
CHICAGO, IL 60644
Dentist (General Practice)
5425 W LAKE ST
CHICAGO, IL 60644
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644
Clinic/Center (Federally Qualified Health Center (FQHC))
5425 W LAKE ST
CHICAGO, IL 60644
Family Medicine
5425 W LAKE ST
CHICAGO, IL 60644

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 Michelle Doscas's NPI number?

The NPI number for Michelle Doscas is 1306343421. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Michelle Doscas located?

Michelle Doscas practices at 5425 W Lake St, Chicago, IL 60644. The listed phone number is (708) 434-4007.

What is Michelle Doscas's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michelle Doscas enrolled in Medicare?

Yes. Michelle Doscas 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.

When was this NPI record last updated?

The NPPES record for Michelle Doscas was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.