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DR. BRIAN D SKLAR M.D.
NPI 1740270024
Obstetrics & Gynecology in Downers Grove, IL

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
3743 HIGHLAND AVE STE 1001, DOWNERS GROVE, IL 60515(630) 620-8061 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian D Sklar M.d. NPPES

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

DR. BRIAN D SKLAR M.D. (NPI 1740270024) is an individual obstetrics & gynecology provider in Downers Grove, Illinois, licensed in Illinois (036-090623) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Wayne State University School Of Medicine (1992).

NPPES Registry Identity

NPI1740270024
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. BRIAN D SKLARCredential: M.D.
Location Address3743 HIGHLAND AVE STE 1001Downers Grove, IL 60515-1594
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(630) 620-8061
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1992
Enumeration DateOctober 26, 2005
Last NPPES UpdateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1740270024 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 · 036-090623
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.
3743 HIGHLAND AVE STE 1001, Downers Grove, IL 60515
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Other Identifiers 1

Medicaid036090623IL

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. Brian D Sklar 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 ID4587748785
PECOS Enrollment IDI20080227000120
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.
55 services51 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
36 services36 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.
27 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
90%230 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
93%769 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%844 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 733 patients
Patients tobacco: 55% · 31 patients
96%733 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. ROBERT F KING MD
Internal Medicine
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515
Dupage County (630) 963-9667
MRS. MICHELLE A SALERNO-SHORTT RD,LDN,CDE
Dietitian, Registered
3743 HIGHLAND AVE STE 1001, DUPAGE MEDICAL GROUP
DOWNERS GROVE, IL 60515
Dupage County (630) 435-6137
DR. RIZWAN MAHMOOD MD
Internal Medicine
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515
Dupage County (630) 963-9667
MATTHEW ROBERT WILKINS
Family Medicine
3743 HIGHLAND AVE STE 1001
DOWNERS GROVE, IL 60515
Dupage County (630) 963-9667

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 Brian Sklar's NPI number?

The NPI number for Brian Sklar is 1740270024. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Brian Sklar located?

Brian Sklar practices at 3743 Highland Ave Ste 1001, Downers Grove, IL 60515. The listed phone number is (630) 620-8061.

What is Brian Sklar's specialty?

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

Is Brian Sklar enrolled in Medicare?

Yes. Brian Sklar 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 Brian Sklar accept?

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

According to CMS data, Brian Sklar is affiliated with Elmhurst Memorial Hospital and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Brian Sklar was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.