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DR. MICHELLE PRICKETT M.D.
NPI 1821259995
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since June 21, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
675 N SAINT CLAIR ST, SUITE: 18-250, CHICAGO, IL 60611(312) 695-1800 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michelle Prickett M.d. NPPES

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

DR. MICHELLE PRICKETT M.D. (NPI 1821259995) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036.117266) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2004).

NPPES Registry Identity

NPI1821259995
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHELLE PRICKETTCredential: M.D.
Location Address675 N SAINT CLAIR ST, SUITE: 18-250Chicago, IL 60611-5975
Mailing Address676 N Saint Clair St, Suite 1400Chicago, IL 60611-2927
Phone(312) 695-1800
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2004
Enumeration DateJune 21, 2008
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1821259995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036.117266
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
675 N SAINT CLAIR ST, Chicago, IL 60611
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Michelle Lee Hinsch M.d.

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. Michelle Prickett 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 ID3375676950
PECOS Enrollment IDI20100803000635
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
180 services53 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.
96 services75 patients
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.
78 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services18 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers17 claims17 services$33.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers19 claims37 services$1.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$49.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers18 claims102 services$1.55 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers33 claims33 services$13.86 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers14 claims14 services$769.12 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 20

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

TAYLOR MARIE HOGAN WINTERHALER AGACNP-BC
Nurse Practitioner (Acute Care)
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Cook County (206) 883-7722
SHARON A ALLEN APRN
Nurse Practitioner (Adult Health)
675 N SAINT CLAIR ST, 21-100
CHICAGO, IL 60611
Cook County (312) 695-0316
HERON RODRIGUEZ MD
Surgery (Vascular Surgery)
675 N SAINT CLAIR ST, NORTHWESTERN MEMORIAL HOSPIALT GALTER 19-100
CHICAGO, IL 60611
Cook County (312) 695-2714
DR. DARREN MICHAEL BRENNER M.D.
Internal Medicine (Gastroenterology)
675 N SAINT CLAIR ST, SUITE 17-250
CHICAGO, IL 60611
Cook County (312) 695-5620
DR. ABDUL AZIZ AADAM M.D.
Internal Medicine (Gastroenterology)
675 N SAINT CLAIR ST, GASTROENTEROLOGY - SUITE 1400
CHICAGO, IL 60611
Cook County (312) 926-2000
JAN ELMAN STOUT PSYD
Psychologist (Clinical)
675 N SAINT CLAIR ST, SUITE 14-200
CHICAGO, IL 60611
Cook County (312) 695-7269
EMILY ELIZABETH HANDLEY OTD, OTR/L
Occupational Therapist
675 N SAINT CLAIR ST
CHICAGO, IL 60611
Cook County (815) 919-1791
SEEMA SINGHAL MD
Internal Medicine (Hematology)
675 N SAINT CLAIR ST, GALTER 21-100
CHICAGO, IL 60611
Cook County (312) 695-0990

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 Michelle Prickett's NPI number?

The NPI number for Michelle Prickett is 1821259995. It was assigned to this individual provider in the NPPES registry on June 21, 2008. The provider is also known as Dr. Michelle Lee Hinsch M.D..

Where is Michelle Prickett located?

Michelle Prickett practices at 675 N Saint Clair St Suite: 18-250, Chicago, IL 60611. The listed phone number is (312) 695-1800.

What is Michelle Prickett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michelle Prickett enrolled in Medicare?

Yes. Michelle Prickett 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.

Is Michelle Prickett affiliated with any hospitals?

According to CMS data, Michelle Prickett is affiliated with Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Prickett was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.