YESENIA ARCE M.D.
NPI 1811334626
Family Medicine in Melrose Park, IL

Q: What is Yesenia Arce's NPI number?

The NPI number for Yesenia Arce is 1811334626. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Q: What is Yesenia Arce's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yesenia Arce was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment

1111 SUPERIOR ST STE 101, MELROSE PARK, IL 60160(708) 406-3040 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Yesenia Arce M.d. NPPES

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

YESENIA ARCE M.D. (NPI 1811334626) is an individual family medicine provider in Melrose Park, Illinois, licensed in Illinois (125062653) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and maintains a secondary practice location in Berwyn.

NPPES Registry Identity

NPI1811334626

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameYESENIA ARCECredential: M.D.

Location Address1111 SUPERIOR ST STE 101Melrose Park, IL 60160-4100

Mailing Address3231 S. Euclid Avenue, 5th FloorBerwyn, IL 60402 · (708) 783-2000 · Fax (708) 783-3656

Phone(708) 406-3040

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013

Enumeration DateJune 3, 2013

Last NPPES UpdateDecember 30, 2019

✔ NPI 1811334626 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 · 125062653

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.

1111 SUPERIOR ST STE 101, Melrose Park, IL 60160

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Secondary Practice Location 1

Location 13231 S. Euclid Avenue, 5th FloorBerwyn, IL 60402 · Phone (708) 783-2000 · Fax (708) 783-3656

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

Yesenia Arce 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 ID4486887866

PECOS Enrollment IDI20160606002404

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 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

32 services13 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.

29 services15 patients

Hospital Affiliations CMS Care Compare

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140008

Location701 West North AveMelrose Park, IL 60160 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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 suppliers13 claims13 services$213.21 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.

DR. YOLANDA CARDENAS M.D.

Family Medicine