NICKOLE A. DOOLEY DO
NPI 1720203789
Family Medicine in Gurnee, IL

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
103 S GREENLEAF ST, SUITE J, GURNEE, IL 60031(847) 599-8899(847) 599-8897 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nickole A. Dooley Do NPPES

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

NICKOLE A. DOOLEY DO (NPI 1720203789) is an individual family medicine provider in Gurnee, Illinois, licensed in Illinois (036-116737) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2004).

NPPES Registry Identity

NPI1720203789
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICKOLE A. DOOLEYCredential: DO
Location Address103 S GREENLEAF ST, SUITE JGurnee, IL 60031-3380
Mailing Address2650 Ridge Ave, Evanston HospitalEvanston, IL 60201-1718 · (847) 570-1206 · Fax (847) 570-1248
Fax(847) 599-8897
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2004
Enumeration DateApril 16, 2007
Last NPPES UpdateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1720203789 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 · 036-116737
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.
103 S GREENLEAF ST, Gurnee, IL 60031

Other Identifiers 1

Other036-116737IL · Il State Lic

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

Nickole A. Dooley Do 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 ID648371609
PECOS Enrollment IDI20070720000839
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 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.

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.
90 services90 patients
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.
78 services62 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.
31 services24 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.
26 services23 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.
13 services12 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60031 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
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
Quality80.79
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers20 claims48 services$4.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers14 claims16 services$0.85 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers32 claims32 services$188.63 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.

Podiatrist (Foot & Ankle Surgery)
103 S GREENLEAF ST, STE B
GURNEE, IL 60031
Specialist
103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031
Specialist
103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031
Dentist (Endodontics)
103 S GREENLEAF ST, SUITE K
GURNEE, IL 60031
Family Medicine (Adult Medicine)
103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031
Physician Assistant (Medical)
103 S GREENLEAF ST, SUITE J
GURNEE, IL 60031

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 Nickole Dooley's NPI number?

The NPI number for Nickole Dooley is 1720203789. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Nickole Dooley located?

Nickole Dooley practices at 103 S Greenleaf St Suite J, Gurnee, IL 60031. The listed phone number is (847) 599-8899.

What is Nickole Dooley's specialty?

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

Is Nickole Dooley enrolled in Medicare?

Yes. Nickole Dooley 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.

Is Nickole Dooley affiliated with any hospitals?

According to CMS data, Nickole Dooley is affiliated with Northshore University Healthsystem - Evanston Hospital and Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Nickole Dooley was last updated on February 10, 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.