SHIRLEY ANA STILSON M.D.
NPI 1700806254
Hospitalist in Willowbrook, IL

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
6336 MARTIN DR, WILLOWBROOK, IL 60527(949) 370-7225 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2021, May 24, 2021, Mar 5, 2020 (3 updates tracked since 2020).

About Shirley Ana Stilson M.d. NPPES

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

SHIRLEY ANA STILSON M.D. (NPI 1700806254) is an individual hospitalist provider in Willowbrook, Illinois, licensed in Illinois (036108964) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Denton, and maintains a secondary practice location in Arlington Heights.

NPPES Registry Identity

NPI1700806254
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHIRLEY ANA STILSONCredential: M.D.
Location Address6336 MARTIN DRWillowbrook, IL 60527-5328
Mailing Address800 W Central RdArlington Heights, IL 60005-2349 · (877) 635-9229 · Fax (847) 618-3259
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 20213 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1700806254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036108964
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036108964 (IL), A93448 (CA)
6336 MARTIN DR, Willowbrook, IL 60527

Other Names 1

Former Name (1)Shirley Ana Mathew M.d.

Secondary Practice Location 1

Location 1800 W Central RdArlington Heights, IL 60005-2349 · Phone (877) 635-9229 · Fax (847) 618-3259

Other Identifiers 2

Other036-108964IL · Medical License
OtherA93448CA · Medical License

Accepted 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

Shirley Ana Stilson 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 ID6901709898
PECOS Enrollment IDI20220531000805
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

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$65.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shirley Stilson's NPI number?

The NPI number for Shirley Stilson is 1700806254. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Shirley Stilson located?

Shirley Stilson practices at 6336 Martin Dr, Willowbrook, IL 60527. The listed phone number is (949) 370-7225.

What is Shirley Stilson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shirley Stilson enrolled in Medicare?

Yes. Shirley Stilson 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 Shirley Stilson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Shirley Stilson 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 Shirley Stilson affiliated with any hospitals?

According to CMS data, Shirley Stilson is affiliated with Texas Health Presbyterian Hospital Denton and Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Shirley Stilson was last updated on July 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.