STEVEN SCLAMBERG MD
NPI 1538112255
Orthopaedic Surgery in Skokie, IL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
89.41/100
CMS Quality Rating
4709 GOLF RD, SUITE 1200, SKOKIE, IL 60076(847) 869-7233(847) 869-9416 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Steven Sclamberg Md NPPES

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

STEVEN SCLAMBERG MD (NPI 1538112255) is an individual orthopaedic surgery provider in Skokie, Illinois, licensed in Illinois (036104339) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northwestern University Feinberg Medical School (1996).

NPPES Registry Identity

NPI1538112255
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTEVEN SCLAMBERGCredential: MD
Location Address4709 GOLF RD, SUITE 1200Skokie, IL 60076-1231
Mailing Address4709 Golf Rd, Suite 1200Skokie, IL 60076-1231 · (847) 869-7233 · Fax (847) 869-9416
Fax(847) 869-9416
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1996
Enumeration DateMay 17, 2006
Last NPPES UpdateNovember 25, 2014
NPI 1538112255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036104339
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4709 GOLF RD, Skokie, IL 60076

Other Identifiers 1

Medicare UPINH 64906IL

Accepted 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

Steven Sclamberg 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 ID7113926213
PECOS Enrollment IDI20061219000529
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.

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.
501 services282 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
239 services166 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
129 services111 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.
106 services106 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.
61 services45 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.
49 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Thorek Memorial Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140115
Location850 W Irving Park RdChicago, IL 60613 · Cook County
Emergency services

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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.

89.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.66
Promoting Interoperability100
Improvement Activities40
Cost71.14

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.

Eyewear Supplier
4709 GOLF RD, SUITE 107
SKOKIE, IL 60076
Ophthalmology
4709 GOLF RD, TWELFTH FLOOR
SKOKIE, IL 60076
Internal Medicine (Rheumatology)
4709 GOLF RD, SUITE 1200
SKOKIE, IL 60076
Psychologist (Clinical)
4709 GOLF RD, STE 1150
SKOKIE, IL 60076
Psychologist (Clinical)
4709 GOLF RD, SUITE 1150
SKOKIE, IL 60076
Internal Medicine (Rheumatology)
4709 GOLF RD, SUITE 111
SKOKIE, IL 60076
Psychologist
4709 GOLF RD
SKOKIE, IL 60076
Specialist
4709 GOLF RD, 1000
SKOKIE, IL 60076

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 Steven Sclamberg's NPI number?

The NPI number for Steven Sclamberg is 1538112255. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Steven Sclamberg located?

Steven Sclamberg practices at 4709 Golf Rd Suite 1200, Skokie, IL 60076. The listed phone number is (847) 869-7233.

What is Steven Sclamberg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Steven Sclamberg enrolled in Medicare?

Yes. Steven Sclamberg 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 Steven Sclamberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Steven Sclamberg 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 Steven Sclamberg affiliated with any hospitals?

According to CMS data, Steven Sclamberg is affiliated with Northshore University Healthsystem - Evanston Hospital, Presence Saint Francis Hospital, Thorek Memorial Hospital, Amita Health Resurrection Medical Center and Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Steven Sclamberg was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.