GREGORY BUDINGER MD
NPI 1326008186
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST, GALTER 18-250, CHICAGO, IL 60611(312) 695-1800(312) 695-4741 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Budinger Md NPPES

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

GREGORY BUDINGER MD (NPI 1326008186) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036083924) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).

NPPES Registry Identity

NPI1326008186
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameGREGORY BUDINGERCredential: MD
Location Address675 N SAINT CLAIR ST, GALTER 18-250Chicago, IL 60611-5975
Mailing Address680 N Lake Shore Dr, Suite 1000Chicago, IL 60611-4546 · (312) 695-1800 · Fax (312) 695-4741
Fax(312) 695-4741
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1989
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 23, 2009
NPI 1326008186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IL · 036083924
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

675 N SAINT CLAIR ST, Chicago, IL 60611

Other Identifiers 1

Medicare UPING19267

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

Gregory Budinger 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 ID5698845113
PECOS Enrollment IDI20080610000116
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services25 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services24 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
25 services24 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

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 supplier12 claims12 services$67.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$33.25 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers12 claims1,320 services$0.37 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers12 claims14 services$11.79 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 20

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

Internal Medicine (Hematology)
675 N SAINT CLAIR ST, SUITE 21-100
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST, SUITE 18-200
CHICAGO, IL 60611
Surgery (Surgical Oncology)
675 N SAINT CLAIR ST, SUITE 100
CHICAGO, IL 60611
Allergy & Immunology
675 N SAINT CLAIR ST, STE 18-250
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST, GALTER 18-#200
CHICAGO, IL 60611
Internal Medicine
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Internal Medicine (Nephrology)
675 N SAINT CLAIR ST, SUITE #250
CHICAGO, IL 60611
Obstetrics & Gynecology (Reproductive Endocrinology)
675 N SAINT CLAIR ST, SUITE #200
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326008186, enumerated as an "individual" on March 24, 2006.

The provider is located at 675 N SAINT CLAIR ST GALTER 18-250 CHICAGO, IL 60611 and the phone number is (312) 695-1800.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Gregory Budinger is affiliated with: NORTHWESTERN MEMORIAL HOSPITAL.