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DR. LAWRENCE TIMOTHY KACMAR M.D.
NPI 1699861682
Family Medicine - Sports Medicine in Aurora, IL

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
3965 75TH ST, SUITE 103, AURORA, IL 60504(630) 375-1625(630) 375-1925 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lawrence Timothy Kacmar M.d. NPPES

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

DR. LAWRENCE TIMOTHY KACMAR M.D. (NPI 1699861682) is an individual sports medicine provider in Aurora, Illinois, licensed in Illinois (036-091557) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (1995).

NPPES Registry Identity

NPI1699861682
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. LAWRENCE TIMOTHY KACMARCredential: M.D.
Location Address3965 75TH ST, SUITE 103Aurora, IL 60504-7925
Mailing Address3965 75th St, Suite 103Aurora, IL 60504-7925 · (630) 375-1625 · Fax (630) 375-1925
Phone(630) 375-1625
Fax(630) 375-1925
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 1995
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1699861682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in IL · 036-091557
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3965 75TH ST, Aurora, IL 60504
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Other Identifiers 5

Other0002232125IL · Bluecross/blueshield
Medicare ID-Type Unspecified202522IL
Medicare UPING53040IL
Other17167232IL · United Healthcare
Medicaid036091557IL

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. Lawrence Timothy Kacmar M.d. 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 ID4183796089
PECOS Enrollment IDI20080710000065
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 7

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.
574 services146 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.
157 services80 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.
152 services24 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.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
24 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane 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

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 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.

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.

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
100%27 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%27 patients5/55-star benchmark: 100%
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%28 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%7,351 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%5,777 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
89%129 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
14%129 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%129 patients1/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
100%20 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.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
10 suppliers15 claims2,052 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$206.66 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.

ALYSSA SIVEK
Speech-Language Pathologist
3965 75TH ST, SUITE 104
AURORA, IL 60504
Dupage County (630) 236-7000
JILL HEADLEY SMITH SLP-A
Specialist/Technologist (Speech-Language Assistant)
3965 75TH ST
AURORA, IL 60504
Dupage County (630) 236-7000
SHARON V. THOMPSON PT
Physical Therapist (Pediatrics)
3965 75TH ST, SUITE 104
AURORA, IL 60504
Dupage County (630) 236-7000
MS. SUE ELLEN BROWN MS
Speech-Language Pathologist
3965 75TH ST, SUITE 104
AURORA, IL 60504
Dupage County (630) 236-7000
LEAH KRISTENE MICHELLI MMS, PA-C
Physician Assistant
3965 75TH ST, SUITE 103
AURORA, IL 60504
Dupage County (630) 375-1625
MRS. MICHELLE SIMA
Specialist/Technologist (Speech-Language Assistant)
3965 75TH ST
AURORA, IL 60504
Dupage County (630) 236-7000
MRS. JACQUELINE PATRICIA SVARA APN-CNP
Nurse Practitioner
3965 75TH ST, SUITE 103
AURORA, IL 60504
Dupage County (630) 375-1625
MS. SYLVIA L GARLAND SLPA
Specialist/Technologist (Speech-Language Assistant)
3965 75TH ST
AURORA, IL 60504
Dupage County (630) 236-7000

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 Lawrence Kacmar's NPI number?

The NPI number for Lawrence Kacmar is 1699861682. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Lawrence Kacmar located?

Lawrence Kacmar practices at 3965 75th St Suite 103, Aurora, IL 60504. The listed phone number is (630) 375-1625.

What is Lawrence Kacmar's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Lawrence Kacmar enrolled in Medicare?

Yes. Lawrence Kacmar 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 Lawrence Kacmar affiliated with any hospitals?

According to CMS data, Lawrence Kacmar is affiliated with Katherine Shaw Bethea Hospital, Copley Memorial Hospital, Swedish Hospital, Edward Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Lawrence Kacmar was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.