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DR. GEORGE ANTOINE AGHIA M.D.
NPI 1811218142
Family Medicine in Crest Hill, IL

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
16151 WEBER RD, SUITE 201, CREST HILL, IL 60403(815) 838-2888 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. George Antoine Aghia M.d. NPPES

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

DR. GEORGE ANTOINE AGHIA M.D. (NPI 1811218142) is an individual family medicine provider in Crest Hill, Illinois, licensed in Illinois (036-133237) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Boston University School Of Medicine (2010).

NPPES Registry Identity

NPI1811218142
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GEORGE ANTOINE AGHIACredential: M.D.
Location Address16151 WEBER RD, SUITE 201Crest Hill, IL 60403-0863
Mailing Address16151 Weber Rd, Suite 201Crest Hill, IL 60403-0863 · (815) 838-2888
Phone(815) 838-2888
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1811218142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-133237✔ Licensed in RI · LP01968
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.
16151 WEBER RD, Crest Hill, IL 60403
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Other Identifiers 1

Medicaid036133237IL

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. George Antoine Aghia 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 ID1153556592
PECOS Enrollment IDI20131021001027
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.

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.
163 services78 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.
74 services51 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.
68 services68 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.
33 services21 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.
16 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will 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 60403 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.

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
6 suppliers28 claims82 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims17 services$1.06 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 7

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

NICOLE HOOTEN
Social Worker (Clinical)
16151 WEBER RD
CREST HILL, IL 60403
Will County (815) 782-8263
JAVEED AKHTER MD
Pediatrics (Pediatric Pulmonology)
16151 WEBER RD, SUITE 101
CREST HILL, IL 60403
Will County (815) 588-5012
CAROLYN WHITFIELD DPM
Podiatrist
16151 WEBER RD, SUITE 107
CREST HILL, IL 60403
Will County (815) 733-5162
CAROLYN WHITFIELD, DPM, PC
Podiatrist
16151 WEBER RD, SUITE 107
CREST HILL, IL 60403
Will County (815) 733-5162
WILLOW FALLS PODIATRY
Podiatrist (Primary Podiatric Medicine)
16151 WEBER RD, SUITE 107
CREST HILL, IL 60403
Will County (815) 838-0282
CYNTHIA M YARSHEN DO
Family Medicine
16151 WEBER RD, SUITE 201
CREST HILL, IL 60403
Will County (815) 838-2888
DUNCAN WILLIAM HALL LCSW
Social Worker (Clinical)
16151 WEBER RD, SUITE 101
CREST HILL, IL 60403
Will County (815) 773-7827

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 George Aghia's NPI number?

The NPI number for George Aghia is 1811218142. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is George Aghia located?

George Aghia practices at 16151 Weber Rd Suite 201, Crest Hill, IL 60403. The listed phone number is (815) 838-2888.

What is George Aghia's specialty?

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

Is George Aghia enrolled in Medicare?

Yes. George Aghia 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 George Aghia accept?

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

According to CMS data, George Aghia is affiliated with Presence Saint Joseph Medical Center, Swedish Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for George Aghia was last updated on February 22, 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.