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DAVID JOHN CIMBALUK M.D.
NPI 1578739710
Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL

Active since May 07, 2008PECOS Enrolled
1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-5700 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David John Cimbaluk M.d. NPPES

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

DAVID JOHN CIMBALUK M.D. (NPI 1578739710) is an individual anatomic pathology & clinical pathology provider in Chicago, Illinois, licensed in Illinois (036119891) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2003).

NPPES Registry Identity

NPI1578739710
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDAVID JOHN CIMBALUKCredential: M.D.
Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Phone(312) 942-5700
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2003
Enumeration DateMay 7, 2008
Last NPPES UpdateOctober 31, 2013
✔ NPI 1578739710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 036119891
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1653 W CONGRESS PKWY, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David John Cimbaluk M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345312351
PECOS Enrollment IDI20080709000155
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

2

Medicare enrollment records show David Cimbaluk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Pathologists P C
Same address
Anatomic Pathology & Clinical Pathology
1653 W CONGRESS PKWY
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
NPI 1003890534 (312) 942-5700
University Pathology Diagnostics Sc
0.1 mi
Anatomic Pathology & Clinical Pathology
1653 W CONGRESS PKWY, 570 JELKE
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 25 clinicians in this Medicare group
NPI 1275088130 (312) 942-8850

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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,681 services714 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
349 services35 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
313 services241 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
236 services63 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
200 services63 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
133 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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.

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%26 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.

KAITLIN ROBLING MD
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5000
LAUREN ELIZABETH ARSENAULT MD
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5781
ALEX MICHAEL JAMES
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (888) 352-7874
WERNER MEIER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-7154
UNIVERSITY PATHOLOGISTS P C
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5700
RUSH UNIVERSITY MEDICAL CENTER
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Cook County (312) 942-2054
DR. PATOULA PANAGOS-BILLIRIS MD
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612
Cook County (312) 942-3306
KAREN HARVEY
Nurse Practitioner (Psychiatric/Mental Health)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 947-0100

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 David Cimbaluk's NPI number?

The NPI number for David Cimbaluk is 1578739710. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is David Cimbaluk located?

David Cimbaluk practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 942-5700.

What is David Cimbaluk's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is David Cimbaluk enrolled in Medicare?

Yes. David Cimbaluk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Cimbaluk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Cimbaluk reassigns Medicare benefits to 2 organizations: University Pathologists P C (Chicago, IL) and University Pathology Diagnostics Sc (Chicago, IL). Each 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 David Cimbaluk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Cimbaluk affiliated with any hospitals?

According to CMS data, David Cimbaluk is affiliated with Rush Oak Park Hospital, Rush University Medical Center and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for David Cimbaluk was last updated on October 31, 2013. 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.