DR. JOHN J MUNSELL M.D.
NPI 1700893153
Internal Medicine in Lake Bluff, IL

Q: What is John Munsell's NPI number?

The NPI number for John Munsell is 1700893153. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is John Munsell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for John Munsell was last updated on February 16, 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.

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment

93.08/100

CMS Quality Rating

101 WAUKEGAN RD, SUITE 1200, LAKE BLUFF, IL 60044(847) 295-8500 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John J Munsell M.d. NPPES

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

DR. JOHN J MUNSELL M.D. (NPI 1700893153) is an individual internal medicine provider in Lake Bluff, Illinois, licensed in Illinois (036050117) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Ohio State University College Of Medicine (1973).

NPPES Registry Identity

NPI1700893153

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JOHN J MUNSELLCredential: M.D.

Location Address101 WAUKEGAN RD, SUITE 1200Lake Bluff, IL 60044-3012

Mailing Address101 Waukegan Rd, Suite 1200Lake Bluff, IL 60044-3012 · (847) 295-8500

Phone(847) 295-8500

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 1973

Enumeration DateAugust 1, 2006

Last NPPES UpdateFebruary 16, 2021

NPPES CertifiedFebruary 16, 2021

✔ NPI 1700893153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036050117

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

101 WAUKEGAN RD, Lake Bluff, IL 60044

Open in Google Maps ↗

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

Dr. John J Munsell 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 ID2163453812

PECOS Enrollment IDI20050823000691

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 14

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.

568 services390 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.

483 services483 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.

423 services363 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.

289 services289 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

200 services145 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.

104 services104 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

84 services82 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.

46 services40 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.

18 services18 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

17 services17 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

16 services16 patients

Physician or allowed practitioner re-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 a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

13 services11 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.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140202

Location801 S Milwaukee AveLibertyville, IL 60048 · Lake 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 60044 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.

93.08/100

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

Scored through an Alternative Payment Model

Quality

80.79

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

12 suppliers23 claims43 services$6.47 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers11 claims12 services$1.04 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers15 claims16 services$40.43 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

2 suppliers17 claims20 services$15.29 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

3 suppliers35 claims38 services$66.66 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$32.25 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 6

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

MS. SUSAN C DENEY APN-CNP

Nurse Practitioner

101 WAUKEGAN RD, SUITE 1200
LAKE BLUFF, IL 60044

Lake County (847) 295-8500

FRESENIUS MEDICAL CARE OF ILLINOIS, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

101 WAUKEGAN RD, SUITE 700
LAKE BLUFF, IL 60044

Lake County (847) 735-0870

DR. JOHN LIN M.D.

Internal Medicine

101 WAUKEGAN RD, SUITE 1200
LAKE BLUFF, IL 60044

Lake County (847) 295-8500

DR. MICHAEL LEVI MD

Internal Medicine

101 WAUKEGAN RD, SUITE 1200
LAKE BLUFF, IL 60044

Lake County (847) 295-8500

DR. IVANA F. RUFFOLO M.D.

Internal Medicine

101 WAUKEGAN RD, SUITE 1200
LAKE BLUFF, IL 60044

Lake County (847) 295-8500

DR. JOHN JONGHWAN LEE DDS

Dentist (General Practice)

101 WAUKEGAN RD, SUITE 930
LAKE BLUFF, IL 60044

Lake County (847) 735-9530

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 John Munsell's NPI number?

The NPI number for John Munsell is 1700893153. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is John Munsell located?

John Munsell practices at 101 Waukegan Rd Suite 1200, Lake Bluff, IL 60044. The listed phone number is (847) 295-8500.

What is John Munsell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Munsell enrolled in Medicare?

Yes. John Munsell 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 John Munsell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list John Munsell 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 John Munsell affiliated with any hospitals?

According to CMS data, John Munsell is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital, Northwestern Lake Forest Hospital, Advocate Condell Medical Center and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for John Munsell was last updated on February 16, 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.