PABLO ERMELO G PEREZ MD
NPI 1578658993
Family Medicine in Elgin, IL

Q: What is Pablo Ermelo Perez's NPI number?

The NPI number for Pablo Ermelo Perez is 1578658993. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Pablo Ermelo Perez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

1425 N RANDALL RD, ELGIN, IL 60123(224) 783-3450(224) 783-1124 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2021, Aug 5, 2021, Jun 23, 2021 (3 updates tracked since 2021).

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About Pablo Ermelo G Perez Md NPPES

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

PABLO ERMELO G PEREZ MD (NPI 1578658993) is an individual family medicine provider in Elgin, Illinois, licensed in Illinois (036-096278) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1578658993

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePABLO ERMELO G PEREZCredential: MD

Location Address1425 N RANDALL RDElgin, IL 60123-2300

Mailing Address1425 N Randall RdElgin, IL 60123-2300 · (224) 783-3450 · Fax (224) 783-1124

Phone(224) 783-3450

Fax(224) 783-1124

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 3, 2006

Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1578658993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036-096278✔ Licensed in SC · 22369

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 40524 (WI), 036-096278 (IL)

1425 N RANDALL RD, Elgin, IL 60123

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Secondary Practice Location 1

Location 12900 W Oklahoma AveMilwaukee, WI 53215-4330 · Phone (414) 649-6000

Other Identifiers 2

Other036096278IL · License

Medicaid223699SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Pablo Ermelo G Perez 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 ID7113090085

PECOS Enrollment IDI20080725000159

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 Reassignments

Medicare enrollment records show Pablo Ermelo Perez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation

24 mi

General Acute Care Hospital

3815 HIGHLAND AVE
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
4,870 clinicians in this Medicare group

NPI 1578670543 (630) 275-5900

Aurora Medical Group, Inc.

66 mi

Obstetrics & Gynecology

8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1457592735 (414) 328-8650

Proctor Health Systems

112 mi

Family Medicine

5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
349 clinicians in this Medicare group

NPI 1134173917 (309) 689-6049

Methodist Medical Center Of Illinois

115 mi

General Acute Care Hospital

221 NE GLEN OAK AVE
Peoria, IL 61636

Reassigned Medicare billing, Illinois enrollment
693 clinicians in this Medicare group

NPI 1164474755 (309) 672-5522

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 8

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.

439 services105 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

161 services64 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.

89 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

74 services74 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

60 services38 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.

55 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140030

Location1425 North Randall RoadElgin, IL 60123 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140223

Location1775 Dempster StPark Ridge, IL 60068 · Cook County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140291

Location450 West Highway 22Barrington, IL 60010 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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

$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.

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.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier17 claims1,200 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers15 claims1,922 services$0.38 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 20

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

TONIA C HANSON PA-C

Physician Assistant

1425 N RANDALL RD, SUITE 404
ELGIN, IL 60123

Kane County (224) 783-8129

NICOLE CARPENTER

Counselor (Mental Health)