DR. PETER PAPAGIANNOPOULOS M.D.
NPI 1750729018
Otolaryngology in Oak Brook, IL

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment
2011 YORK RD, OAK BROOK, IL 60523(312) 942-6100 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2019, Jun 19, 2018 (2 updates tracked since 2018).

About Dr. Peter Papagiannopoulos M.d. NPPES

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

DR. PETER PAPAGIANNOPOULOS M.D. (NPI 1750729018) is an individual otolaryngology provider in Oak Brook, Illinois, licensed in Illinois (036-149099) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Rush Oak Park Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1750729018
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PETER PAPAGIANNOPOULOSCredential: M.D.
Location Address2011 YORK RDOak Brook, IL 60523
Mailing Address2011 York RdOak Brook, IL 60523-1914 · (312) 942-6100
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2013
Enumeration DateJune 10, 2013
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
NPI 1750729018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IL · 036-149099
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2011 YORK RD, Oak Brook, IL 60523

Secondary Practice Location 1

Location 13400 Spruce StPhiladelphia, PA 19104 · Phone (215) 662-2777

Accepted 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. Peter Papagiannopoulos 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 ID5496001703
PECOS Enrollment IDI20190722000867, I20240221000526
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 15

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 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.
405 services228 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
370 services227 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
113 services79 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.
101 services101 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.
96 services61 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
63 services54 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 60523 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.

Other Providers at the Same Location NPPES 12

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

Family Medicine
2011 YORK RD
OAK BROOK, IL 60523
Physical Therapist
2011 YORK RD
OAK BROOK, IL 60523
Physical Therapist
2011 YORK RD
OAK BROOK, IL 60523
Nurse Practitioner
2011 YORK RD
OAK BROOK, IL 60523
Dermatology
2011 YORK RD
OAK BROOK, IL 60523
Nurse Practitioner (Family)
2011 YORK RD
OAK BROOK, IL 60523
Physical Therapist
2011 YORK RD
OAK BROOK, IL 60523
Hearing Instrument Specialist
2011 YORK RD
OAK BROOK, IL 60523

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 Peter Papagiannopoulos's NPI number?

The NPI number for Peter Papagiannopoulos is 1750729018. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Peter Papagiannopoulos located?

Peter Papagiannopoulos practices at 2011 York Rd, Oak Brook, IL 60523. The listed phone number is (312) 942-6100.

What is Peter Papagiannopoulos's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Peter Papagiannopoulos enrolled in Medicare?

Yes. Peter Papagiannopoulos 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 Peter Papagiannopoulos accept?

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

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

When was this NPI record last updated?

The NPPES record for Peter Papagiannopoulos was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.