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DR. ERIC J JANOTA DO
NPI 1659364305
Family Medicine in Sandwich, IL

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1 E COUNTYLINE RD, SANDWICH, IL 60548(815) 786-2722(815) 786-6840 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Eric J Janota Do NPPES

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

DR. ERIC J JANOTA DO (NPI 1659364305) is an individual family medicine provider in Sandwich, Illinois, licensed in Illinois (036077584) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1987).

NPPES Registry Identity

NPI1659364305
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC J JANOTACredential: DO
Location Address1 E COUNTYLINE RDSandwich, IL 60548-2178
Mailing Address1 E Countyline RdSandwich, IL 60548-2178 · (815) 786-2722 · Fax (815) 786-6840
Phone(815) 786-2722
Fax(815) 786-6840
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1987
Enumeration DateAugust 29, 2005
Last NPPES UpdateJanuary 27, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1659364305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036077584
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.
1 E COUNTYLINE RD, Sandwich, IL 60548
Open in Google Maps ↗

Other Identifiers 2

Other1921614IL · Blue Cross Blue Shield
Medicaid036077584IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Eric J Janota Do 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 ID3779570320
PECOS Enrollment IDI20090107000150
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 Eric Janota reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures
Same address
Family Medicine
1 E COUNTYLINE RD
Sandwich, IL 60548
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1316183551 (815) 786-2722
Endeavor Health Medical Group
57 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 11

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.
475 services224 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
185 services185 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
116 services14 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
93 services14 patients
Osteopathic manipulative treatment, 9-10 body regions 98929
Osteopathic Manipulative Treatment (OMT) involves hands-on care. In a 9-10 body regions procedure, a doctor manipulates muscles and joints using techniques like stretching, gentle pressure, and resistance to improve health and wellness. It's often used to ease pain, promote healing, and increase overall mobility.
61 services21 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.
58 services45 patients

Hospital Affiliations CMS Care Compare

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

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60548 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers31 claims64 services$6.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$14.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$84.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 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 14

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

DR. RICHARD W MASON DO
Surgery
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
DR. KENNETH J KAVANAUGH DO
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
EDWARD HEALTH VENTURES
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
DR. MARK DONALD WEINHOLD D.D.S.
Dentist (General Practice)
1 E COUNTYLINE RD, SUITE A
SANDWICH, IL 60548
Dekalb County (815) 786-2185
DR. MARIA DANA SUTKUS DO
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
PRAIRIE HEALTHCARE, LTD
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722
REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC
Durable Medical Equipment & Medical Supplies
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-1517
DR. DANIEL D GAUTHIER DO
Family Medicine
1 E COUNTYLINE RD
SANDWICH, IL 60548
Dekalb County (815) 786-2722

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 Eric Janota's NPI number?

The NPI number for Eric Janota is 1659364305. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Eric Janota located?

Eric Janota practices at 1 E Countyline Rd, Sandwich, IL 60548. The listed phone number is (815) 786-2722.

What is Eric Janota's specialty?

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

Is Eric Janota enrolled in Medicare?

Yes. Eric Janota 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.

Which organizations bill Medicare for Eric Janota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Janota reassigns Medicare benefits to 2 organizations: Edward Health Ventures (Sandwich, IL) and Endeavor Health Medical Group (Evanston, 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 Eric Janota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Janota accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Eric Janota 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 Eric Janota affiliated with any hospitals?

According to CMS data, Eric Janota is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Eric Janota was last updated on January 27, 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.