DOUGLAS EVANS MD
NPI 1700850005
Orthopaedic Surgery - Sports Medicine in Maywood, IL

Q: What is Douglas Evans's NPI number?

The NPI number for Douglas Evans is 1700850005. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Douglas Evans's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Evans was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAGUIRE 1700, MAYWOOD, IL 60153(708) 216-3280(708) 216-6223 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Douglas Evans Md NPPES

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

DOUGLAS EVANS MD (NPI 1700850005) is an individual sports medicine provider in Maywood, Illinois, licensed in Illinois (36110469) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1999).

NPPES Registry Identity

NPI1700850005

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDOUGLAS EVANSCredential: MD

Location Address2160 S 1ST AVE, MAGUIRE 1700Maywood, IL 60153-3328

Mailing Address2160 S 1st Ave, Maguire 1700Maywood, IL 60153-3328 · (708) 216-3280 · Fax (708) 216-6223

Phone(708) 216-3280

Fax(708) 216-6223

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1999

Enumeration DateFebruary 14, 2006

Last NPPES UpdateAugust 11, 2022

NPPES CertifiedAugust 11, 2022

✔ NPI 1700850005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in IL · 36110469

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

2160 S 1ST AVE, Maywood, IL 60153

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Other Identifiers 1

Medicaid36110469IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Douglas Evans 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 ID9638109416

PECOS Enrollment IDI20050822000570

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 4

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.

23 services20 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.

20 services14 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.

17 services12 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140276

Location2160 S 1st AvenueMaywood, IL 60153 · Cook County

Emergency services Birthing friendly

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.

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