DR. LIZA GAYE ICAYAN M.D.
NPI 1316922529
Internal Medicine in Evanston, IL

Q: What is Liza Icayan's NPI number?

The NPI number for Liza Icayan is 1316922529. It was assigned to this individual provider in the NPPES registry on December 9, 2005. The provider is also known as Mrs. Liza Gaye Tung.

Q: What is Liza Icayan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Liza Icayan was last updated on October 6, 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.

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-2824 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Liza Gaye Icayan M.d. NPPES

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

DR. LIZA GAYE ICAYAN M.D. (NPI 1316922529) is an individual internal medicine provider in Evanston, Illinois, licensed in Illinois (036-094279) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Saint Louis University School Of Medicine (1990).

NPPES Registry Identity

NPI1316922529

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. LIZA GAYE ICAYANCredential: M.D.

Location Address2650 RIDGE AVEEvanston, IL 60201-1718

Mailing Address141 Sterling LnWilmette, IL 60091-3229 · (847) 853-7475

Phone(847) 570-2824

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1990

Enumeration DateDecember 9, 2005

Last NPPES UpdateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1316922529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036-094279

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2650 RIDGE AVE, Evanston, IL 60201

Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Liza Gaye Tung

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Liza Gaye Icayan M.d. 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 ID4183692379

PECOS Enrollment IDI20040924000616

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

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.

35 services32 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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

$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.

93.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

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.

DR. THOMAS LEE CIBULL M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201

Cook County (847) 570-2040

LAUREN ANDERSON MD

Hospitalist

2650 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 570-1027

DR. DANIEL K. WEST MD

Radiology (Diagnostic Radiology)

2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201

Cook County (847) 570-2475

JOEL BERNSTEIN M.D.

Radiology (Diagnostic Radiology)

2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201

Cook County (847) 570-1206

MATTHEW R. SHERWOOD MD

Internal Medicine

2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201

Cook County (847) 570-1010

MICHAEL T. GILLAM M.D.

Emergency Medicine

2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201

Cook County (847) 570-2114

MARLENE ANGELICO CNP

Nurse Practitioner (Acute Care)

2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201

Cook County (847) 570-1355

MINA KEROLOS MD, PHARM.D.

Hospitalist

2650 RIDGE AVE
EVANSTON, IL 60201

Cook County (847) 570-1010

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 Liza Icayan's NPI number?

The NPI number for Liza Icayan is 1316922529. It was assigned to this individual provider in the NPPES registry on December 9, 2005. The provider is also known as Mrs. Liza Gaye Tung.

Where is Liza Icayan located?

Liza Icayan practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-2824.

What is Liza Icayan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Liza Icayan enrolled in Medicare?

Yes. Liza Icayan 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 Liza Icayan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Liza Icayan 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 Liza Icayan affiliated with any hospitals?

According to CMS data, Liza Icayan is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Liza Icayan was last updated on October 6, 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.