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NICKLAS ROBERT PFANZELTER MD
NPI 1598968976
Internal Medicine - Medical Oncology in Glenview, IL

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2180 PFINGSTEN RD., KELLOGG CANCER CENTER, GLENVIEW, IL 60026(847) 503-1000(847) 503-1100 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Oct 18, 2019, Oct 16, 2018 (3 updates tracked since 2018).

About Nicklas Robert Pfanzelter Md NPPES

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

NICKLAS ROBERT PFANZELTER MD (NPI 1598968976) is an individual medical oncology provider in Glenview, Illinois, licensed in Illinois (036133170) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Glenview.

NPPES Registry Identity

NPI1598968976
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameNICKLAS ROBERT PFANZELTERCredential: MD
Location Address2180 PFINGSTEN RD., KELLOGG CANCER CENTERGlenview, IL 60026
Mailing Address2180 Pfingsten Rd., Kellogg Cancer CenterGlenview, IL 60026-1339 · (847) 503-1000 · Fax (847) 503-1100
Phone(847) 503-1000
Fax(847) 503-1100
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2007
Enumeration DateJune 6, 2007
Last NPPES UpdateApril 1, 20213 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1598968976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in IL · 036133170
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
2180 PFINGSTEN RD., Glenview, IL 60026
Open in Google Maps ↗

Secondary Practice Location 1

Location 12180 Pfingsten RdGlenview, IL 60026-1339 · Phone (847) 503-1000 · Fax (847) 503-1100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Nicklas Robert Pfanzelter 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 ID1850525296
PECOS Enrollment IDI20131017001992
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 6

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.
727 services265 patients
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.
250 services168 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.
180 services89 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 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.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60026 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
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.

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

Other Providers at the Same Location NPPES 2

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

MARY K YOUNG MD
Psychiatry & Neurology (Neurology)
2180 PFINGSTEN RD., SUITE 2000
GLENVIEW, IL 60026
Cook County (847) 570-2570
KATHERINE WAILEN SU M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2180 PFINGSTEN RD., KELLOGG CANCER CENTER
GLENVIEW, IL 60026
Cook County (847) 570-2868

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 Nicklas Pfanzelter's NPI number?

The NPI number for Nicklas Pfanzelter is 1598968976. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Nicklas Pfanzelter located?

Nicklas Pfanzelter practices at 2180 Pfingsten Rd. Kellogg Cancer Center, Glenview, IL 60026. The listed phone number is (847) 503-1000.

What is Nicklas Pfanzelter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Nicklas Pfanzelter enrolled in Medicare?

Yes. Nicklas Pfanzelter 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.

What insurance does Nicklas Pfanzelter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nicklas Pfanzelter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicklas Pfanzelter affiliated with any hospitals?

According to CMS data, Nicklas Pfanzelter is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Nicklas Pfanzelter was last updated on April 1, 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.