STANFORD TACK MD
NPI 1558314013
Orthopaedic Surgery in Libertyville, IL

Active since May 18, 2006
72.68/100
CMS Quality Rating
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048(847) 247-4000 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanford Tack Md NPPES

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

STANFORD TACK MD (NPI 1558314013) is an individual orthopaedic surgery provider in Libertyville, Illinois, licensed in Illinois (036-075136) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1558314013
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSTANFORD TACKCredential: MD
Location Address720 FLORSHEIM DRLibertyville, IL 60048-3757
Mailing Address900 Rand Rd Ste 300, Attn: Raquel LeonDes Plaines, IL 60016-2359 · (847) 324-3976
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 28, 2012
NPI 1558314013 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 · 036-075136
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.
720 FLORSHEIM DR, Libertyville, IL 60048

Other Identifiers 4

Medicare UPINE65303IL
Medicare PINK32494IL
Medicaid036-075136IL
Medicare PINK32495IL

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.

72.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability81
Improvement Activities40
Cost52.96

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
99%76 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
14%69 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Orthopaedic Surgery
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Physical Therapist
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Orthopaedic Surgery (Foot and Ankle Surgery)
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Specialist/Technologist, Other (Surgical Technologist)
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Specialist/Technologist (Athletic Trainer)
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Physician Assistant
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Orthopaedic Surgery
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048
Nurse Practitioner
720 FLORSHEIM DR
LIBERTYVILLE, IL 60048

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 Stanford Tack's NPI number?

The NPI number for Stanford Tack is 1558314013. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Stanford Tack located?

Stanford Tack practices at 720 Florsheim Dr, Libertyville, IL 60048. The listed phone number is (847) 247-4000.

What is Stanford Tack's specialty?

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

When was this NPI record last updated?

The NPPES record for Stanford Tack was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.