EDITH MERLE CHAFFIN MD
NPI 1306899216
Family Medicine in Chicago, IL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
6307 S STEWART AVE, SUITE 204, CHICAGO, IL 60621(773) 487-3017(773) 487-3028 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2020, Sep 19, 2016 (2 updates tracked since 2016).

About Edith Merle Chaffin Md NPPES

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

EDITH MERLE CHAFFIN MD (NPI 1306899216) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036067419) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1982).

NPPES Registry Identity

NPI1306899216
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEDITH MERLE CHAFFINCredential: MD
Location Address6307 S STEWART AVE, SUITE 204Chicago, IL 60621-3116
Mailing Address6307 S Stewart Ave Ste 310Chicago, IL 60621-3116 · (773) 487-3017 · Fax (773) 487-3028
Fax(773) 487-3028
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1982
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
NPI 1306899216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036067419
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 036067419 (IL)
6307 S STEWART AVE, Chicago, IL 60621

Other Identifiers 1

Medicaid036067419IL

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

Edith Merle Chaffin 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 ID8325117898
PECOS Enrollment IDI20080523000351
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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
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.
357 services96 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 G0179
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.
196 services136 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 G0180
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.
106 services95 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
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.
100 services41 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 G0181
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.
91 services47 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
68 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60621 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.72 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$3.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims26 services$67.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Pharmacy
6307 S STEWART AVE
CHICAGO, IL 60621
Dentist (Pediatric Dentistry)
6307 S STEWART AVE
CHICAGO, IL 60621
Pediatrics
6307 S STEWART AVE, SUITE 311
CHICAGO, IL 60621
Obstetrics & Gynecology
6307 S STEWART AVE
CHICAGO, IL 60621
Nurse Practitioner (Family)
6307 S STEWART AVE
CHICAGO, IL 60621
Dentist (General Practice)
6307 S STEWART AVE
CHICAGO, IL 60621
Dentist
6307 S STEWART AVE
CHICAGO, IL 60621
Nurse Practitioner (Family)
6307 S STEWART AVE
CHICAGO, IL 60621

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 Edith Chaffin's NPI number?

The NPI number for Edith Chaffin is 1306899216. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Edith Chaffin located?

Edith Chaffin practices at 6307 S Stewart Ave Suite 204, Chicago, IL 60621. The listed phone number is (773) 487-3017.

What is Edith Chaffin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edith Chaffin enrolled in Medicare?

Yes. Edith Chaffin 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 Edith Chaffin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Edith Chaffin 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.

When was this NPI record last updated?

The NPPES record for Edith Chaffin was last updated on August 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.