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DR. DIANE MARIE DRUGAS M.D.
NPI 1457436776
Surgery in Chicago, IL

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
1801 W TAYLOR ST, 3F-OCC, CHICAGO, IL 60612(312) 355-4300 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2022, May 21, 2019 (2 updates tracked since 2019).

About Dr. Diane Marie Drugas M.d. NPPES

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

DR. DIANE MARIE DRUGAS M.D. (NPI 1457436776) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036077826) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457436776
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DIANE MARIE DRUGASCredential: M.D.
Location Address1801 W TAYLOR ST, 3F-OCCChicago, IL 60612
Mailing Address410 E Lincoln HwyNew Lenox, IL 60451-1975 · (815) 462-5566 · Fax (815) 462-5549
Phone(312) 355-4300
Sole ProprietorYes
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1987
Enumeration DateOctober 26, 2006
Last NPPES UpdateSeptember 26, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1457436776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036077826
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1801 W TAYLOR ST, Chicago, IL 60612
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Secondary Practice Locations 2

Location 1410 E Lincoln HwyNew Lenox, IL 60451-1975 · Phone (815) 462-5566 · Fax (815) 462-5549
Location 23900 W 203rd StOlympia Fields, IL 60461-1183 · Phone (708) 855-7071 · Fax (708) 503-3224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Diane Marie Drugas M.d. 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 ID1557440492
PECOS Enrollment IDI20100423000123
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 Diane Drugas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of The University Of Illinois
Same address
Radiation Oncology
1801 W TAYLOR ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1669691788 (312) 413-7501
Mount Sinai Community Foundation
1.0 mi
Psychiatric Hospital
2040 W WASHINGTON BLVD
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1609072313 (312) 850-5836
Specialty Physicians Of Illinois, LLC
25 mi
Urgent Care
20180 S LAGRANGE RD
Frankfort, IL 60423
  • Reassigned Medicare billing, Illinois enrollment
  • 148 clinicians in this Medicare group
NPI 1962024612 (815) 464-2010

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 9

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 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.
321 services214 patients
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.
37 services32 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.
28 services28 patients
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.
21 services21 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
19 services19 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.
19 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%169 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
20%226 patients1/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
3%223 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$25.07 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
5 suppliers40 claims179 services$34.34 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
4 suppliers13 claims16 services$275.60 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.

MATTHEW BRENNER-JEDWABNIK PA-C
Physician Assistant
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (847) 207-6228
DR. MELANI LIGHTER MD
Surgery
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 355-4300
JAMES STEVEN FEINBERG MD
Dermatology (Procedural Dermatology)
1801 W TAYLOR ST, 3E
CHICAGO, IL 60612
Cook County (312) 996-1193
MRS. KIMBERLY YORMARK MS, AGACNP
Nurse Practitioner (Acute Care)
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
DR. ANDERS MELLGREN MD
Colon & Rectal Surgery
1801 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
MILENA J. LYON M.D.
Dermatology
1801 W TAYLOR ST, SUITE 3E
CHICAGO, IL 60612
Cook County (312) 996-8666
MR. DANIEL ROBERT BAMRICK-FERNANDEZ MD, MBA
Dermatology
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-0106
PROF. VATSLA DADHWAL MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1801 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 413-7500

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 Diane Drugas's NPI number?

The NPI number for Diane Drugas is 1457436776. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Diane Drugas located?

Diane Drugas practices at 1801 W Taylor St 3f-Occ, Chicago, IL 60612. The listed phone number is (312) 355-4300.

What is Diane Drugas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Diane Drugas enrolled in Medicare?

Yes. Diane Drugas 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.

Which organizations bill Medicare for Diane Drugas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Drugas reassigns Medicare benefits to 3 organizations: Board Of Trustees Of The University Of Illinois (Chicago, IL), Mount Sinai Community Foundation (Chicago, IL) and Specialty Physicians Of Illinois, LLC (Frankfort, 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 Diane Drugas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Diane Drugas affiliated with any hospitals?

According to CMS data, Diane Drugas is affiliated with Presence Saint Joseph Medical Center, Mt Sinai Hospital Medical Center, University Of Illinois Hospital And Clinics and Franciscan Health Olympia & Chicago Heights.

When was this NPI record last updated?

The NPPES record for Diane Drugas was last updated on September 26, 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.