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DR. SUSAN M. LUPO M.D.
NPI 1326037433
Obstetrics & Gynecology - Gynecology in Arlington Heights, IL

Active since October 20, 2005PECOS Enrolled
72.17/100
CMS Quality Rating
1051 W RAND RD, SUITE 101, ARLINGTON HEIGHTS, IL 60004(847) 221-4900(847) 221-4996 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2021, Mar 2, 2020 (2 updates tracked since 2020).

About Dr. Susan M. Lupo M.d. NPPES

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

DR. SUSAN M. LUPO M.D. (NPI 1326037433) is an individual gynecology provider in Arlington Heights, Illinois, licensed in Illinois (036-085127) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Schaumburg.

NPPES Registry Identity

NPI1326037433
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. SUSAN M. LUPOCredential: M.D.
Location Address1051 W RAND RD, SUITE 101Arlington Heights, IL 60004-2315
Mailing Address1051 Perimeter Dr Ste 150Schaumburg, IL 60173-5075 · (847) 221-4300 · Fax (847) 221-4396
Phone(847) 221-4900
Fax(847) 221-4996
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateOctober 20, 2005
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
✔ NPI 1326037433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036-085127
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1051 W RAND RD, Arlington Heights, IL 60004
Open in Google Maps ↗

Secondary Practice Location 1

Location 11051 Perimeter Dr Ste 150Schaumburg, IL 60173-5075 · Phone (847) 221-4300 · Fax (847) 221-4396

Other Identifiers 2

Other748450IL · Medicare Group Provider
Other036085127IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan M. Lupo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911989033
PECOS Enrollment IDI20060321000387
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Susan Lupo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Community Women Services LLC
Same address
Obstetrics & Gynecology
1051 W RAND RD
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1003344607 (847) 221-4900
Northwest Community Health Services Inc
2.5 mi
Internal Medicine
3040 W SALT CREEK LN
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 346 clinicians in this Medicare group
NPI 1134433154 (847) 618-3481
Womancare, P.C.
4.9 mi
Obstetrics & Gynecology
221 W PROSPECT AVE
Mt Prospect, IL 60056
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1487650982 (847) 221-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
498 services497 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
428 services428 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
216 services216 patients
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.
79 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
28 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60004 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

72.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.85
Promoting Interoperability95
Improvement Activities30
Cost36.05

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.

NORTHWEST COMMUNITY WOMEN SERVICES LLC
Obstetrics & Gynecology
1051 W RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 221-4900
EVAN S. OBLONSKY M.D.
Radiology (Diagnostic Radiology)
1051 W RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 590-8888
RAND IMAGING CENTER
Clinic/Center (Radiology)
1051 W RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 454-2226
CANDICE SANDERS RN
Registered Nurse (Diabetes Educator)
1051 W RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 410-6435
MRS. SUSAN DROGOS RN, BSN, MPA, CDE
Registered Nurse (Diabetes Educator)
1051 W RAND RD, SUITE L02
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 410-6435
RENEE MARIE SALVINO MD
Pediatrics
1051 W RAND RD
ARLINGTON HTS, IL 60004
Cook County (847) 259-5900
AFFINITY HEALTH CARE LLC
Internal Medicine
1051 W RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 454-2226
MRS. SUSAN ANN TUCKEY R.N., C.P.N.P.
Nurse Practitioner (Pediatrics)
1051 W RAND RD, 103
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 259-5900

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 Susan Lupo's NPI number?

The NPI number for Susan Lupo is 1326037433. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Susan Lupo located?

Susan Lupo practices at 1051 W Rand Rd Suite 101, Arlington Heights, IL 60004. The listed phone number is (847) 221-4900.

What is Susan Lupo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Susan Lupo enrolled in Medicare?

Yes. Susan Lupo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Lupo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Lupo reassigns Medicare benefits to 3 organizations: Northwest Community Women Services LLC (Arlington Heights, IL), Northwest Community Health Services Inc (Arlington Heights, IL) and Womancare, P.C. (Mt Prospect, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Lupo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Lupo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Susan Lupo 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 Susan Lupo affiliated with any hospitals?

According to CMS data, Susan Lupo is affiliated with Northshore University Healthsystem - Evanston Hospital, Advocate Lutheran General Hospital, Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Lupo was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.