DR. MARGARET ROSE NETTLETON M.D.
NPI 1710953617
Obstetrics & Gynecology in Arlington Heights, IL

Q: What is Margaret Nettleton's NPI number?

The NPI number for Margaret Nettleton is 1710953617. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Margaret Nettleton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since February 28, 2006PECOS Enrolled

72.17/100

CMS Quality Rating

800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 618-8400(847) 618-8409 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2021, May 10, 2021 (2 updates tracked since 2021).

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About Dr. Margaret Rose Nettleton M.d. NPPES

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

DR. MARGARET ROSE NETTLETON M.D. (NPI 1710953617) is an individual obstetrics & gynecology provider in Arlington Heights, Illinois, licensed in Illinois (036110076) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710953617

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MARGARET ROSE NETTLETONCredential: M.D.

Location Address800 W CENTRAL RDArlington Heights, IL 60005-2349

Mailing Address2500 W Higgins Rd, Suite 1150Hoffman Estates, IL 60169-7220 · (847) 843-1100 · Fax (847) 884-2022

Phone(847) 618-8400

Fax(847) 618-8409

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration

NPPES CertifiedMarch 16, 2022

✔ NPI 1710953617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036110076

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

800 W CENTRAL RD, Arlington Heights, IL 60005

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Secondary Practice Locations 2

Location 12500 W Higgins Rd, Suite 1150Hoffman Estates, IL 60169-7220 · Phone (847) 843-1100 · Fax (847) 884-2022

Location 21051 Perimeter Dr Ste 150Schaumburg, IL 60173-5075 · Phone (847) 221-4300 · Fax (847) 221-4396

Other Identifiers 3

Other216444IL · Medicare Ptan

Other0361100764IL · State License

Medicaid0361100764IL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Margaret Rose Nettleton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890717748

PECOS Enrollment IDI20051220000904

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 Margaret Nettleton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Community Health Services Inc

0.2 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

Northwest Community Women Services LLC

3.8 mi

Obstetrics & Gynecology

1051 W RAND RD
Arlington Heights, IL 60004

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

NPI 1003344607 (847) 221-4900

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 6

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.

104 services102 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

27 services27 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

17 services15 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.

17 services17 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.

16 services14 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140290

Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

72.17/100

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

Scored as part of a group practice

Quality

87.85

Promoting Interoperability

Improvement Activities

Cost

36.05

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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