MARGARITA G VALDECANTOS MD
NPI 1700173226
Family Medicine in Rolling Meadows, IL

Q: What is Margarita Valdecantos's NPI number?

The NPI number for Margarita Valdecantos is 1700173226. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Margarita Valdecantos's specialty?

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

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment

89.66/100

CMS Quality Rating

5999 NEW WILKE RD, SUITE 200 BUILDING 2, ROLLING MEADOWS, IL 60008(847) 255-7107(847) 255-7031 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2021, Dec 16, 2020 (2 updates tracked since 2020).

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About Margarita G Valdecantos Md NPPES

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

MARGARITA G VALDECANTOS MD (NPI 1700173226) is an individual family medicine provider in Rolling Meadows, Illinois, licensed in Illinois (036135001) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1700173226

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARGARITA G VALDECANTOSCredential: MD

Location Address5999 NEW WILKE RD, SUITE 200 BUILDING 2Rolling Meadows, IL 60008-4506

Mailing Address5999 New Wilke Rd Bldg 2, Suite 200 Building 2Rolling Meadows, IL 60008-4506 · (847) 255-7107 · Fax (847) 255-7031

Phone(847) 255-7107

Fax(847) 255-7031

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 5, 2011

Last NPPES UpdateMay 11, 20212 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1700173226 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 · 036135001

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.

5999 NEW WILKE RD, Rolling Meadows, IL 60008

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Other Identifiers 1

Other036135001IL · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Margarita G Valdecantos Md 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 ID2062643810

PECOS Enrollment IDI20140729002285

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

Medicare enrollment records show Margarita Valdecantos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Community Health Services Inc

1.1 mi

Obstetrics

880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005

Reassigned Medicare billing, Illinois enrollment
346 clinicians in this Medicare group

NPI 1467057513 (847) 618-0730

Endeavor Health Medical Group

16 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 16

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.

589 services376 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.

341 services341 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.

197 services175 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.

182 services176 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

132 services129 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

122 services120 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

59 services52 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

45 services45 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

37 services37 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

32 services32 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

27 services27 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

24 services20 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

19 services19 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

17 services17 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

15 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook 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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60008 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

89.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.32

Promoting Interoperability

100

Improvement Activities

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

14 suppliers34 claims82 services$4.74 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers18 claims26 services$0.97 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 supplier12 claims12 services$15.77 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

1 supplier12 claims12 services$67.60 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 12

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

ROSA ROMO APN-CNP

Nurse Practitioner

5999 NEW WILKE RD
ROLLING MEADOWS, IL 60008

Cook County (847) 618-0800

DR. MICHAEL RONALD ERRICO D.D.S.

Dentist (General Practice)

5999 NEW WILKE RD, SUITE 100
ROLLING MEADOWS, IL 60008

Cook County (847) 437-7676

CATHERINE MAUREEN WOOD M.D.

Internal Medicine

5999 NEW WILKE RD, SUITE 200, BLDG 2
ROLLING MEADOWS, IL 60008

Cook County (847) 255-7107

HETAL V SHAH M.D.

Internal Medicine

5999 NEW WILKE RD, SUITE 200, BLDG 2
ROLLING MEADOWS, IL 60008

Cook County (847) 255-7107

DR. THOMAS E BLEASDALE M.D.

Internal Medicine

5999 NEW WILKE RD, SUITE 200, BLDG 2
ROLLING MEADOWS, IL 60008

Cook County (847) 255-7107

DR. NICHOLAS ANTHONY AMIGONI DDS

Dentist (Periodontics)

5999 NEW WILKE RD
ROLLING MEADOWS, IL 60008

Cook County (847) 437-7676

DR. DONALD L CYBORSKI MD

Internal Medicine

5999 NEW WILKE RD, SUITE 200 BLDG 2
ROLLING MEADOWS, IL 60008

Cook County (847) 255-7107

DR. JONGHO HAM MD

Internal Medicine

5999 NEW WILKE RD, S-200, BLDG 2
ROLLING MEADOWS, IL 60008

Cook County (847) 255-7107

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 Margarita Valdecantos's NPI number?

The NPI number for Margarita Valdecantos is 1700173226. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Margarita Valdecantos located?

Margarita Valdecantos practices at 5999 New Wilke Rd Suite 200 Building 2, Rolling Meadows, IL 60008. The listed phone number is (847) 255-7107.

What is Margarita Valdecantos's specialty?

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

Is Margarita Valdecantos enrolled in Medicare?

Yes. Margarita Valdecantos 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 Margarita Valdecantos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margarita Valdecantos reassigns Medicare benefits to 2 organizations: Northwest Community Health Services Inc (Arlington Heights, 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 Margarita Valdecantos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margarita Valdecantos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Margarita Valdecantos 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 Margarita Valdecantos affiliated with any hospitals?

According to CMS data, Margarita Valdecantos is affiliated with Northshore University Healthsystem - Evanston Hospital, Northwestern Medicine Central Dupage Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Margarita Valdecantos was last updated on May 11, 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.