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SEMYON MASLOVSKY MD
NPI 1508855040
Family Medicine in Lake Villa, IL

Active since October 18, 2005PECOS Enrolled
500 PARK AVE, STE 104, LAKE VILLA, IL 60046(847) 245-8700(847) 245-8771 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Semyon Maslovsky Md NPPES

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

SEMYON MASLOVSKY MD (NPI 1508855040) is an individual family medicine provider in Lake Villa, Illinois, licensed in Illinois (036077057) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508855040
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSEMYON MASLOVSKYCredential: MD
Location Address500 PARK AVE, STE 104Lake Villa, IL 60046-6556
Mailing Address500 Park Ave, Ste 104Lake Villa, IL 60046-6556 · (847) 245-8700 · Fax (847) 245-8771
Phone(847) 245-8700
Fax(847) 245-8771
Sole ProprietorYes
Enumeration DateOctober 18, 2005
Last NPPES UpdateOctober 14, 2008
✔ NPI 1508855040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036077057
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 PARK AVE, Lake Villa, IL 60046
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Other Identifiers 3

Medicare ID-Type Unspecified208919
Medicaid036077057IL
Medicare UPINE30865

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Semyon Maslovsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Semyon Maslovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Care Of Lake County S.C.
Same address
Family Medicine
500 PARK AVE, STE 104
Lake Villa, IL 60046
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1861485658 (847) 245-8700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60046 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
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 3

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

EUGENE A POMERANETS MD
Family Medicine
500 PARK AVE, STE 104
LAKE VILLA, IL 60046
Lake County (847) 245-8700
DR. PAMELA NORLEY D.C.
Chiropractor
500 PARK AVE, SUITE 101
LAKE VILLA, IL 60046
Lake County (847) 265-2225
FAMILY CARE OF LAKE COUNTY S.C.
Family Medicine
500 PARK AVE, STE 104
LAKE VILLA, IL 60046
Lake County (847) 245-8700

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 Semyon Maslovsky's NPI number?

The NPI number for Semyon Maslovsky is 1508855040. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Semyon Maslovsky located?

Semyon Maslovsky practices at 500 Park Ave Ste 104, Lake Villa, IL 60046. The listed phone number is (847) 245-8700.

What is Semyon Maslovsky's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Semyon Maslovsky enrolled in Medicare?

Yes. Semyon Maslovsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Semyon Maslovsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Semyon Maslovsky reassigns Medicare benefits to Family Care Of Lake County S.C. (Lake Villa, IL). The 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 Semyon Maslovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Semyon Maslovsky was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.