MATTHEW ALLEN PTACK PA-C
NPI 1356880470
Physician Assistant - Surgical in Skokie, IL

Q: What is Matthew Ptack's NPI number?

The NPI number for Matthew Ptack is 1356880470. It was assigned to this individual provider in the NPPES registry on February 22, 2017.

Q: What is Matthew Ptack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Ptack was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 22, 2017PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

9650 GROSS POINT RD STE 2900, SKOKIE, IL 60076(847) 866-7846(866) 954-5787 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2018, Feb 22, 2017 (2 updates tracked since 2017).

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About Matthew Allen Ptack Pa-c NPPES

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

MATTHEW ALLEN PTACK PA-C (NPI 1356880470) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085006139) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Skokie.

NPPES Registry Identity

NPI1356880470

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMATTHEW ALLEN PTACKCredential: PA-C

Location Address9650 GROSS POINT RD STE 2900Skokie, IL 60076

Mailing Address2650 Ridge Ave. Suite 1223Skokie, IL 60076-1214 · (847) 866-7846 · Fax (866) 954-5787

Phone(847) 866-7846

Fax(866) 954-5787

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 22, 2017

Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1356880470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085006139

Also ListedPhysician AssistantTaxonomy 363A00000X · License 085006139 (IL)

9650 GROSS POINT RD STE 2900, Skokie, IL 60076

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Secondary Practice Location 1

Location 19600 Gross Point RdSkokie, IL 60076-1214 · Phone (847) 677-9600 · Fax (847) 663-2660

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

Matthew Allen Ptack Pa-c 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 ID6800171679

PECOS Enrollment IDI20170316002058

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 2

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

47 services47 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

26 services25 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

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

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier13 claims13 services$15.75 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 supplier13 claims13 services$67.66 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.

DR. JOSHUA BRICE M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)