DR. THOMAS JAMES MCGIVNEY MD
NPI 1811974462
Orthopaedic Surgery in Aurora, IL

Active since December 26, 2005PECOS EnrolledAccepts Medicare Assignment
2111 OGDEN AVE, AURORA, IL 60504(630) 978-3800(630) 862-3085 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2020, May 29, 2019, Feb 7, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Thomas James Mcgivney Md NPPES

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

DR. THOMAS JAMES MCGIVNEY MD (NPI 1811974462) is an individual orthopaedic surgery provider in Aurora, Illinois, licensed in Illinois (036095888) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1992).

NPPES Registry Identity

NPI1811974462
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS JAMES MCGIVNEYCredential: MD
Location Address2111 OGDEN AVEAurora, IL 60504-7597
Mailing Address2111 Ogden AveAurora, IL 60504-7597 · (630) 978-3800 · Fax (630) 862-3085
Fax(630) 862-3085
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1992
Enumeration DateDecember 26, 2005
Last NPPES UpdateJuly 20, 20204 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1811974462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036095888
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 036095888 (IL)
2111 OGDEN AVE, Aurora, IL 60504

Other Identifiers 1

Medicaid036095888IL

Accepted 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

Dr. Thomas James Mcgivney Md 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 ID4183679541
PECOS Enrollment IDI20050317001066
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

3

Medicare enrollment records show Thomas Mcgivney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
2111 OGDEN AVE
Aurora, IL 60504
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group
Internal Medicine
2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 548 clinicians in this Medicare group

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 9

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.
209 services159 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
192 services146 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.
134 services86 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.
96 services96 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
36 services32 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 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
$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 20

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

Registered Nurse
2111 OGDEN AVE
AURORA, IL 60504
Family Medicine (Sports Medicine)
2111 OGDEN AVE
AURORA, IL 60504
Registered Nurse (Orthopedic)
2111 OGDEN AVE
AURORA, IL 60504
Nurse Practitioner (Family)
2111 OGDEN AVE
AURORA, IL 60504
Physical Therapist
2111 OGDEN AVE
AURORA, IL 60504
Physician Assistant
2111 OGDEN AVE
AURORA, IL 60504
Physician Assistant
2111 OGDEN AVE
AURORA, IL 60504
Specialist
2111 OGDEN AVE
AURORA, IL 60504

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 Thomas Mcgivney's NPI number?

The NPI number for Thomas Mcgivney is 1811974462. It was assigned to this individual provider in the NPPES registry on December 26, 2005.

Where is Thomas Mcgivney located?

Thomas Mcgivney practices at 2111 Ogden Ave, Aurora, IL 60504. The listed phone number is (630) 978-3800.

What is Thomas Mcgivney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Mcgivney enrolled in Medicare?

Yes. Thomas Mcgivney 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 Thomas Mcgivney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mcgivney reassigns Medicare benefits to 3 organizations: Rush-Copley Orthopedics, LLC (Aurora, IL), Rush University Medical Center (Oak Brook, IL) and Rush Medical Group (Chicago, 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 Thomas Mcgivney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Mcgivney accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thomas Mcgivney 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 Thomas Mcgivney affiliated with any hospitals?

According to CMS data, Thomas Mcgivney is affiliated with Copley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Mcgivney was last updated on July 20, 2020. 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.