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MARGARET M BOILINI PA-C
NPI 1659894897
Physician Assistant in Waukegan, IL

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
724 N GREEN BAY RD, WAUKEGAN, IL 60085(847) 901-8400 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2020, Mar 17, 2018, Jul 19, 2017 (3 updates tracked since 2017).

About Margaret M Boilini Pa-c NPPES

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

MARGARET M BOILINI PA-C (NPI 1659894897) is an individual physician assistant in Waukegan, Illinois, licensed in Illinois (085.007814) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659894897
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARGARET M BOILINICredential: PA-C
Location Address724 N GREEN BAY RDWaukegan, IL 60085-2236
Mailing Address111 E Wisconsin Ave Ste 2000Milwaukee, WI 53202-4809 · (414) 290-6720 · Fax (414) 290-6755
Phone(847) 901-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 24, 20203 updates tracked since enumeration
NPPES CertifiedJuly 24, 2020
✔ NPI 1659894897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085.007814✔ Licensed in WI · 4087-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
724 N GREEN BAY RD, Waukegan, IL 60085
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16308 8th AveKenosha, WI 53143-5031 · Phone (414) 290-6720 · Fax (414) 290-6755
Location 29555 76th StPleasant Prairie, WI 53158-1984 · Phone (414) 290-6720 · Fax (414) 290-6755

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margaret M Boilini Pa-c 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 ID5890068290
PECOS Enrollment IDI20170907000205
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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
150 services145 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
119 services118 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.
113 services32 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.
69 services37 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
37 services33 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60085 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%945 patients5/55-star benchmark: 100%
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 3

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

LAKE COUNTY IMMEDIATE CARE, LLC
Clinic/Center (Urgent Care)
724 N GREEN BAY RD
WAUKEGAN, IL 60085
Lake County (312) 753-5167
ROWELL ANGELES
Nurse Practitioner (Family)
724 N GREEN BAY RD
WAUKEGAN, IL 60085
Lake County (847) 901-8400
MELISSA SELL MMS, PA-C
Physician Assistant (Medical)
724 N GREEN BAY RD
WAUKEGAN, IL 60085
Lake County (847) 901-8400

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 Margaret Boilini's NPI number?

The NPI number for Margaret Boilini is 1659894897. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Margaret Boilini located?

Margaret Boilini practices at 724 N Green Bay Rd, Waukegan, IL 60085. The listed phone number is (847) 901-8400.

What is Margaret Boilini's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Margaret Boilini enrolled in Medicare?

Yes. Margaret Boilini 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 Margaret Boilini accept?

Health plans from CareSource (Common Ground Healthcare) list Margaret Boilini 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 Margaret Boilini affiliated with any hospitals?

According to CMS data, Margaret Boilini is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Margaret Boilini was last updated on July 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.