WALDO HERRERA NOVEY MD, MSC, FACP
NPI 1538476593
Hospitalist in Skokie, IL

Active since September 10, 2010PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9600 GROSS POINT RD, SKOKIE, IL 60076(847) 933-6410(847) 933-6411 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 9, 2019, Feb 3, 2017, Nov 2, 2016 (3 updates tracked since 2016).

About Waldo Herrera Novey Md, Msc, Facp NPPES

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

WALDO HERRERA NOVEY MD, MSC, FACP (NPI 1538476593) is an individual hospitalist provider in Skokie, Illinois, licensed in Illinois (036130683) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Evanston.

NPPES Registry Identity

NPI1538476593
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameWALDO HERRERA NOVEYCredential: MD, MSC, FACP
Location Address9600 GROSS POINT RDSkokie, IL 60076
Mailing Address9600 Gross Point RdSkokie, IL 60076-1214 · (847) 933-6410 · Fax (847) 933-6411
Fax(847) 933-6411
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 10, 2010
Last NPPES UpdateOctober 9, 20193 updates tracked since enumeration
✔ NPI 1538476593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036130683
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036130683 (IL)
9600 GROSS POINT RD, Skokie, IL 60076

Other Names 1

Other Name (5)Dr. Waldo Herrera Md, Msc, Facp

Secondary Practice Location 1

Location 12650 Ridge Ave, Evanston Hospital, Division of Hospital MedicineEvanston, IL 60201-1718 · Phone (847) 570-2000

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

Waldo Herrera Novey Md, Msc, Facp 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 ID1355596081
PECOS Enrollment IDI20130304000530
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 Waldo Herrera Novey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group

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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
288 services125 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services26 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Physical Therapist
9600 GROSS POINT RD
SKOKIE, IL 60076
Physician Assistant (Surgical)
9600 GROSS POINT RD
SKOKIE, IL 60076
Anesthesiology
9600 GROSS POINT RD
SKOKIE, IL 60076
Physical Therapist
9600 GROSS POINT RD
SKOKIE, IL 60076
Physician Assistant (Surgical)
9600 GROSS POINT RD
SKOKIE, IL 60076
Nurse Practitioner (Occupational Health)
9600 GROSS POINT RD
SKOKIE, IL 60076
Physician Assistant (Surgical)
9600 GROSS POINT RD
SKOKIE, IL 60076
Nurse Practitioner (Family)
9600 GROSS POINT RD
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 Waldo Herrera Novey's NPI number?

The NPI number for Waldo Herrera Novey is 1538476593. It was assigned to this individual provider in the NPPES registry on September 10, 2010. The provider is also known as Dr. Waldo Herrera MD, Msc, Facp.

Where is Waldo Herrera Novey located?

Waldo Herrera Novey practices at 9600 Gross Point Rd, Skokie, IL 60076. The listed phone number is (847) 933-6410.

What is Waldo Herrera Novey's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Waldo Herrera Novey enrolled in Medicare?

Yes. Waldo Herrera Novey 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 organization bills Medicare for Waldo Herrera Novey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waldo Herrera Novey reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, 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 Waldo Herrera Novey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Waldo Herrera Novey affiliated with any hospitals?

According to CMS data, Waldo Herrera Novey is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Waldo Herrera Novey was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.