MR. JOHN JAMES MCANELLY MD
NPI 1538480165
Hospitalist in Naperville, IL

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
801 S. WASHINGTON ST., NAPERVILLE, IL 60540(630) 527-3000 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John James Mcanelly Md NPPES

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

MR. JOHN JAMES MCANELLY MD (NPI 1538480165) is an individual hospitalist provider in Naperville, Illinois, licensed in Illinois (036131886) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2010).

NPPES Registry Identity

NPI1538480165
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. JOHN JAMES MCANELLYCredential: MD
Location Address801 S. WASHINGTON ST.Naperville, IL 60540
Mailing Address801 S. Washington St.Naperville, IL 60540 · (630) 527-3000
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2010
Enumeration DateJune 17, 2010
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1538480165 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 · 036131886
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 036131886 (IL), 125-057979 (IL)
801 S. WASHINGTON ST., Naperville, IL 60540

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

Mr. John James Mcanelly 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 ID3274772181
PECOS Enrollment IDI20130625000234
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.

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.
606 services232 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.
217 services211 patients
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.
138 services103 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.
114 services111 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.
94 services92 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60540 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
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.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$44.18 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier29 claims29 services$40.96 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 17

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

Emergency Medicine
801 S. WASHINGTON ST., EMERGENCY MEDICINE
NAPERVILLE, IL 60540
Pediatrics
801 S. WASHINGTON ST., NICU
NAPERVILLE, IL 60540
Pediatrics (Neonatal-Perinatal Medicine)
801 S. WASHINGTON ST., NICU
NAPERVILLE, IL 60540
Pediatrics (Pediatric Critical Care Medicine)
801 S. WASHINGTON ST., PICU
NAPERVILLE, IL 60540
Pediatrics
801 S. WASHINGTON ST., NICU
NAPERVILLE, IL 60540
Pediatrics (Neonatal-Perinatal Medicine)
801 S. WASHINGTON ST., NICU
NAPERVILLE, IL 60540
Emergency Medicine
801 S. WASHINGTON ST., EMERGENCY MEDICINE
NAPERVILE, IL 60540
Emergency Medicine
801 S. WASHINGTON ST., EMERGENCY MEDICINE
NAPERVILE, IL 60540

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 Mcanelly's NPI number?

The NPI number for John Mcanelly is 1538480165. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is John Mcanelly located?

John Mcanelly practices at 801 S. Washington St., Naperville, IL 60540. The listed phone number is (630) 527-3000.

What is John Mcanelly's specialty?

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

Is John Mcanelly enrolled in Medicare?

Yes. John Mcanelly 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.

Is John Mcanelly affiliated with any hospitals?

According to CMS data, John Mcanelly is affiliated with Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for John Mcanelly was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.