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KAREN LOUISE EISELE DO
NPI 1790047710
Family Medicine in Yorkville, IL

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
76 W COUNTRYSIDE PKWY, YORKVILLE, IL 60560(630) 553-2722(630) 553-3983 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2021, Jan 26, 2016 (2 updates tracked since 2016).

About Karen Louise Eisele Do NPPES

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

KAREN LOUISE EISELE DO (NPI 1790047710) is an individual family medicine provider in Yorkville, Illinois, licensed in Illinois (036136166) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1790047710
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN LOUISE EISELECredential: DO
Location Address76 W COUNTRYSIDE PKWYYorkville, IL 60560-1967
Mailing Address76 W Countryside PkwyYorkville, IL 60560-1967 · (630) 553-2722 · Fax (630) 553-3983
Phone(630) 553-2722
Fax(630) 553-3983
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1790047710 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 · 036136166
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.
76 W COUNTRYSIDE PKWY, Yorkville, IL 60560
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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, Oscar Health.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

Karen Louise Eisele 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 ID9436377629
PECOS Enrollment IDI20141029002170
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 Karen Eisele reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Health Ventures
Same address
Hematology & Oncology
76 WEST COUNTRYSIDE PARKWAY
Yorkville, IL 60560
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1306961941 (630) 553-4992
Endeavor Health Medical Group
48 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 8

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.
186 services92 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.
97 services97 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
20 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services15 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60560 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
13 suppliers34 claims103 services$4.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims19 services$0.91 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.

SAVANNAH RENO
Physical Therapy Assistant
76 W COUNTRYSIDE PKWY
YORKVILLE, IL 60560
Kendall County (815) 298-8929
DR. DANIEL S SIKIC DO
Family Medicine
76 W COUNTRYSIDE PKWY
YORKVILLE, IL 60560
Kendall County (630) 553-2722
DR. TOMAS A JAKSTYS MD
Family Medicine
76 W COUNTRYSIDE PKWY
YORKVILLE, IL 60560
Kendall County (630) 553-2722
MELISSA N KWAK MD
Family Medicine
76 W COUNTRYSIDE PKWY
YORKVILLE, IL 60560
Kendall County (630) 553-2722
REBECCA CHRISTINE GARY LCSW
Social Worker (Clinical)
76 W COUNTRYSIDE PKWY
YORKVILLE, IL 60560
Kendall County (630) 646-6396
MRS. PEGGY SUE GLOTZBACH L.CPC
Counselor (Professional)
76 W COUNTRYSIDE PKWY
YORKVILLE, IL 60560
Kendall County (630) 527-3600

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 Karen Eisele's NPI number?

The NPI number for Karen Eisele is 1790047710. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Karen Eisele located?

Karen Eisele practices at 76 W Countryside Pkwy, Yorkville, IL 60560. The listed phone number is (630) 553-2722.

What is Karen Eisele's specialty?

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

Is Karen Eisele enrolled in Medicare?

Yes. Karen Eisele 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 Karen Eisele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Eisele reassigns Medicare benefits to 2 organizations: Edward Health Ventures (Yorkville, IL) and Endeavor Health Medical Group (Evanston, 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 Karen Eisele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Eisele accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Karen Eisele 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 Karen Eisele affiliated with any hospitals?

According to CMS data, Karen Eisele is affiliated with Copley Memorial Hospital, Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Karen Eisele was last updated on March 19, 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.