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MR. KEN GABRIEL DOVERTE NP
NPI 1417425547
Nurse Practitioner - Adult Health in Park Ridge, IL

Active since November 07, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1420 RENAISSANCE DR STE 207, PARK RIDGE, IL 60068(847) 296-6161(847) 574-7444 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Jan 14, 2019, Nov 7, 2018 (3 updates tracked since 2018).

About Mr. Ken Gabriel Doverte Np NPPES

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

MR. KEN GABRIEL DOVERTE NP (NPI 1417425547) is an individual adult health provider in Park Ridge, Illinois, licensed in Illinois (209018290) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417425547
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. KEN GABRIEL DOVERTECredential: NP
Location Address1420 RENAISSANCE DR STE 207Park Ridge, IL 60068-1342
Mailing Address1420 Renaissance Dr Ste 207Park Ridge, IL 60068-1342 · (847) 296-6161 · Fax (847) 574-7444
Phone(847) 296-6161
Fax(847) 574-7444
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 7, 2018
Last NPPES UpdateMarch 31, 20223 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1417425547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209018290
1420 RENAISSANCE DR STE 207, Park Ridge, IL 60068
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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

Mr. Ken Gabriel Doverte Np 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 ID4183964133
PECOS Enrollment IDI20190329000157
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 11

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,733 services454 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
295 services122 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
272 services160 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
221 services218 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
201 services41 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
177 services11 patients

Hospital Affiliations CMS Care Compare

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims760 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims920 services$0.37 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims405 services$20.23 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers30 claims963 services$7.10 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims534 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims576 services$2.06 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 2

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

SUNOVA HEALTHCARE S.C.
Psychiatry & Neurology (Psychiatry)
1420 RENAISSANCE DR STE 207
PARK RIDGE, IL 60068
Cook County (847) 559-9015
PLATINUM HEALTHCARE SERVICES LLC
Home Health
1420 RENAISSANCE DR STE 207
PARK RIDGE, IL 60068
Cook County (224) 251-7930

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 Ken Gabriel Doverte's NPI number?

The NPI number for Ken Gabriel Doverte is 1417425547. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Ken Gabriel Doverte located?

Ken Gabriel Doverte practices at 1420 Renaissance Dr Ste 207, Park Ridge, IL 60068. The listed phone number is (847) 296-6161.

What is Ken Gabriel Doverte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ken Gabriel Doverte enrolled in Medicare?

Yes. Ken Gabriel Doverte 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.

Is Ken Gabriel Doverte affiliated with any hospitals?

According to CMS data, Ken Gabriel Doverte is affiliated with Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Ken Gabriel Doverte was last updated on March 31, 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.