DR. RAYMOND T O'HARA DPM
NPI 1669463022
Podiatrist - Foot & Ankle Surgery in Schaumburg, IL

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
93.11/100
CMS Quality Rating
929 W HIGGINS RD, SCHAUMBURG, IL 60195(847) 285-4200(847) 885-0130 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raymond T O'hara Dpm NPPES

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

DR. RAYMOND T O'HARA DPM (NPI 1669463022) is an individual foot & ankle surgery provider in Schaumburg, Illinois, licensed in Illinois (016-005174) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Alexius Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1669463022
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. RAYMOND T O'HARACredential: DPM
Location Address929 W HIGGINS RDSchaumburg, IL 60195-3203
Mailing Address929 W Higgins RdSchaumburg, IL 60195-3203 · (847) 285-4200 · Fax (847) 885-0130
Fax(847) 885-0130
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
NPI 1669463022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016-005174
929 W HIGGINS RD, Schaumburg, IL 60195

Other Identifiers 3

Other363062013IL · Ein
Medicaid016005174IL
OtherP00311695IL · Medicare Railroad

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

Dr. Raymond T O'hara Dpm 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 ID8527028927
PECOS Enrollment IDI20041011000514
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 15

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
303 services154 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.
299 services172 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
296 services54 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
156 services91 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.
132 services132 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.
97 services84 patients

Hospital Affiliations CMS Care Compare

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

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

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.

93.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.02
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Advance Care Plan
94%447 patients4/55-star benchmark: 100%
Breast Cancer Screening
40%445 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
65%499 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%2,756 patients5/55-star benchmark: 100%
e-Prescribing
98%300 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
81%1,417 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,086 patients
Patients screened: 96% · 1,086 patients
100%78 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 80% · 689 patients
Patients screened: 80% · 689 patients
100%137 patients
Provide Patients Electronic Access to Their Health Information
77%573 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
74%266 patients4/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%39 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 455 patients
Patients totalRate: 0% · 455 patients
0%455 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf L1906
DME-Orthotic Devices · category DF003N
1 supplier11 claims11 services$77.98 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier28 claims28 services$190.34 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 20

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

Orthopaedic Surgery
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Specialist/Technologist (Athletic Trainer)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195

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 Raymond O'hara's NPI number?

The NPI number for Raymond O'hara is 1669463022. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Raymond O'hara located?

Raymond O'hara practices at 929 W Higgins Rd, Schaumburg, IL 60195. The listed phone number is (847) 285-4200.

What is Raymond O'hara's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Raymond O'hara enrolled in Medicare?

Yes. Raymond O'hara 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.

Is Raymond O'hara affiliated with any hospitals?

According to CMS data, Raymond O'hara is affiliated with St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Raymond O'hara was last updated on July 6, 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.