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DANIELA CVETKOVA PA
NPI 1548534977
Physician Assistant in Lake Forest, IL

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
915 S WAUKEGAN RD, LAKE FOREST, IL 60045(847) 234-8866(847) 234-4682 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniela Cvetkova Pa NPPES

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

DANIELA CVETKOVA PA (NPI 1548534977) is an individual physician assistant in Lake Forest, Illinois, licensed in Illinois (085005467) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Lindenhurst.

NPPES Registry Identity

NPI1548534977
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELA CVETKOVACredential: PA
Location Address915 S WAUKEGAN RDLake Forest, IL 60045-2654
Mailing Address915 S Waukegan RdLake Forest, IL 60045-2654 · (847) 234-8866 · Fax (847) 234-4682
Phone(847) 234-8866
Fax(847) 234-4682
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 2, 2012
Last NPPES UpdateAugust 30, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1548534977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085005467
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085005467 (IL)
915 S WAUKEGAN RD, Lake Forest, IL 60045
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Other Names 1

Former Name (1)Daniela Cvetkova Pa

Secondary Practice Location 1

Location 13021 Falling WatersLindenhurst, IL 60046 · Phone (847) 356-9300 · Fax (847) 356-7260

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

Daniela Cvetkova Pa 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 ID4183939606
PECOS Enrollment IDI20150812009173
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 4

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 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.
232 services175 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
85 services80 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 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 60045 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims36 services$6.23 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 3

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

LORI R JACKSON MD
Family Medicine
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
MRS. REBECCA GAMBLE HOUGLUM P.A.
Physician Assistant (Medical)
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866
JENNIFER DIMOND MD
Internal Medicine
915 S WAUKEGAN RD
LAKE FOREST, IL 60045
Lake County (847) 234-8866

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 Daniela Cvetkova's NPI number?

The NPI number for Daniela Cvetkova is 1548534977. It was assigned to this individual provider in the NPPES registry on March 2, 2012. The provider is also known as Daniela Cvetkova PA.

Where is Daniela Cvetkova located?

Daniela Cvetkova practices at 915 S Waukegan Rd, Lake Forest, IL 60045. The listed phone number is (847) 234-8866.

What is Daniela Cvetkova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniela Cvetkova enrolled in Medicare?

Yes. Daniela Cvetkova 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 Daniela Cvetkova affiliated with any hospitals?

According to CMS data, Daniela Cvetkova is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Daniela Cvetkova was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.