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JOHN JOSEPH BULGER II MD
NPI 1447352620
Surgery - Surgery of the Hand in Hinsdale, IL

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
20 E OGDEN AVE, HINSDALE, IL 60521(630) 325-9430(630) 325-9433 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Joseph Bulger Ii Md NPPES

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

JOHN JOSEPH BULGER II MD (NPI 1447352620) is an individual surgery of the hand provider in Hinsdale, Illinois and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1447352620
Entity TypeIndividualMale
Primary Taxonomy2086S0105X
Provider Legal NameJOHN JOSEPH BULGER IICredential: MD
Location Address20 E OGDEN AVEHinsdale, IL 60521-3543
Mailing Address20 E Ogden AveHinsdale, IL 60521-3543 · (630) 325-9430 · Fax (630) 325-9433
Phone(630) 325-9430
Fax(630) 325-9433
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 1, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1447352620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2086S0105X
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
20 E OGDEN AVE, Hinsdale, IL 60521
Open in Google Maps ↗

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 and more.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

John Joseph Bulger Ii 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 ID8921059619
PECOS Enrollment IDI20050210000314
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 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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 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.
48 services38 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
22 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services13 patients
Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
15 services15 patients
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121
This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES 5

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

JOHN BULGER, M. D., S. C.
Specialist
20 E OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 325-9430
DR. HELGE G FRANK MD
Psychiatry & Neurology (Neurology)
20 E OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 325-8730
MEDICAL NEUROLOGY ASSOCIATES SC
Psychiatry & Neurology (Neurology)
20 E OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 325-8730
DR. STANLEY WALTER FRONCZAK MD
Neurological Surgery
20 E OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 655-1229
MR. DANIEL JEROME HARRISON MD
Neurological Surgery
20 E OGDEN AVE
HINSDALE, IL 60521
Dupage County (630) 655-1229

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 John Bulger's NPI number?

The NPI number for John Bulger is 1447352620. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is John Bulger located?

John Bulger practices at 20 E Ogden Ave, Hinsdale, IL 60521. The listed phone number is (630) 325-9430.

What is John Bulger's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is John Bulger enrolled in Medicare?

Yes. John Bulger 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 John Bulger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Aspirus Health Plan and Quartz list John Bulger 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 John Bulger affiliated with any hospitals?

According to CMS data, John Bulger is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for John Bulger was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.