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DR. CASPIAN KUMA FOLMSBEE M.D.
NPI 1720306640
Internal Medicine in Chicago, IL

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment
1653 W CONGRESS PKWY, CHICAGO, IL 60612(312) 563-2875 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Caspian Kuma Folmsbee M.d. NPPES

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

DR. CASPIAN KUMA FOLMSBEE M.D. (NPI 1720306640) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (125:057563) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2010).

NPPES Registry Identity

NPI1720306640
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CASPIAN KUMA FOLMSBEECredential: M.D.
Location Address1653 W CONGRESS PKWYChicago, IL 60612-3833
Mailing Address1653 W Congress PkwyChicago, IL 60612-3833
Phone(312) 563-2875
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2010
Enumeration DateMay 17, 2010
Last NPPES UpdateMarch 27, 2013
✔ NPI 1720306640 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 · 125:057563
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.
1653 W CONGRESS PKWY, Chicago, IL 60612
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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 and accepts Medicare assignment

Dr. Caspian Kuma Folmsbee 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 ID8921241779
PECOS Enrollment IDI20130827000743
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

2

Medicare enrollment records show Caspian Folmsbee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush University Medical Center
Same address
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1184269425 (312) 563-4270
Rush Oak Park Physicians Group Elmwood Park
8.2 mi
Family Medicine
7734 W NORTH AVE
Elmwood Park, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1326318627 (708) 456-6611

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 7

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.
242 services149 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
75 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services40 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.
38 services34 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
35 services35 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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Rush Oak Park Hospital

Acute Care Hospitals · Oak Park, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140063
Location520 S Maple AveOak Park, IL 60304 · Cook County
Emergency services

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
17 suppliers47 claims158 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers23 claims29 services$1.05 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
1 supplier12 claims12 services$45.13 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$41.56 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
2 suppliers12 claims12 services$184.24 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 20

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

KAITLIN ROBLING MD
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5000
LAUREN ELIZABETH ARSENAULT MD
Radiology (Diagnostic Radiology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5781
ALEX MICHAEL JAMES
Student in an Organized Health Care Education/Training Program
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (888) 352-7874
WERNER MEIER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-7154
UNIVERSITY PATHOLOGISTS P C
Pathology (Anatomic Pathology & Clinical Pathology)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 942-5700
RUSH UNIVERSITY MEDICAL CENTER
Clinical Medical Laboratory
1653 W CONGRESS PKWY, ROOM 1188-JELKE
CHICAGO, IL 60612
Cook County (312) 942-2054
DR. PATOULA PANAGOS-BILLIRIS MD
Pediatrics (Neonatal-Perinatal Medicine)
1653 W CONGRESS PKWY, 3 PAVILLION
CHICAGO, IL 60612
Cook County (312) 942-3306
KAREN HARVEY
Nurse Practitioner (Psychiatric/Mental Health)
1653 W CONGRESS PKWY
CHICAGO, IL 60612
Cook County (312) 947-0100

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 Caspian Folmsbee's NPI number?

The NPI number for Caspian Folmsbee is 1720306640. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Caspian Folmsbee located?

Caspian Folmsbee practices at 1653 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 563-2875.

What is Caspian Folmsbee's specialty?

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

Is Caspian Folmsbee enrolled in Medicare?

Yes. Caspian Folmsbee 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.

Which organizations bill Medicare for Caspian Folmsbee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caspian Folmsbee reassigns Medicare benefits to 2 organizations: Rush University Medical Center (Chicago, IL) and Rush Oak Park Physicians Group Elmwood Park (Elmwood Park, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Caspian Folmsbee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caspian Folmsbee accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Caspian Folmsbee 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 Caspian Folmsbee affiliated with any hospitals?

According to CMS data, Caspian Folmsbee is affiliated with Rush Oak Park Hospital and Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Caspian Folmsbee was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.