MARK FIGUEROA
NPI 1609659176
Nurse Practitioner - Family in Buffalo Grove, IL

Q: What is Mark Figueroa's NPI number?

The NPI number for Mark Figueroa is 1609659176. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Q: What is Mark Figueroa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Figueroa was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since August 17, 2023PECOS EnrolledAccepts Medicare Assignment

56 W DUNDEE RD, BUFFALO GROVE, IL 60089(224) 601-5001 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2025, Jul 26, 2024, Aug 17, 2023 (3 updates tracked since 2023).

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About Mark Figueroa NPPES

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

MARK FIGUEROA (NPI 1609659176) is an individual family provider in Buffalo Grove, Illinois, licensed in Illinois (209.027940) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609659176

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMARK FIGUEROA

Location Address56 W DUNDEE RDBuffalo Grove, IL 60089-3758

Mailing Address6421 N Hamlin AveLincolnwood, IL 60712-4041 · (847) 763-9420

Phone(224) 601-5001

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 17, 2023

Last NPPES UpdateJune 21, 20253 updates tracked since enumeration

NPPES CertifiedJune 21, 2025

✔ NPI 1609659176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.027940

56 W DUNDEE RD, Buffalo Grove, IL 60089

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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

Mark Figueroa 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 ID5092000711

PECOS Enrollment IDI20240717003012

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 3

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.

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.

34 services34 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.

16 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60089 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.

Other Providers at the Same Location NPPES 11

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

VITALITY URGENT CARE SERVICES

Clinic/Center (Urgent Care)