THEODORE BOSI
NPI 1881153765
Psychiatry & Neurology - Psychiatry in Lake Forest, IL

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 N WESTMORELAND RD STE 201, LAKE FOREST, IL 60045(847) 535-6489(847) 535-7655 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2023, Mar 19, 2019 (2 updates tracked since 2019).

About Theodore Bosi NPPES

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

THEODORE BOSI (NPI 1881153765) is an individual psychiatry provider in Lake Forest, Illinois, licensed in Illinois (036165788) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1881153765
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTHEODORE BOSI
Location Address800 N WESTMORELAND RD STE 201Lake Forest, IL 60045-1687
Mailing Address800 N Westmoreland Rd Ste 201Lake Forest, IL 60045-1687 · (847) 535-6489 · Fax (847) 535-7655
Fax(847) 535-7655
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2019
Enumeration DateMarch 19, 2019
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1881153765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in IL · 036165788 Licensed in FL · ME149254
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

800 N WESTMORELAND RD STE 201, Lake Forest, IL 60045

Secondary Practice Location 1

Location 12001 Kingsley AveOrange Park, FL 32073-5148 · Phone (904) 639-2000

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

Theodore Bosi 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 ID42547051
PECOS Enrollment IDI20231030000937
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 3

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.
172 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 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.
23 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake 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 60045 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
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.

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

Other Providers at the Same Location NPPES 14

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

Dietitian, Registered
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Social Worker (Clinical)
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Physician Assistant
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Internal Medicine (Rheumatology)
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Psychiatry & Neurology (Psychiatry)
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Internal Medicine (Rheumatology)
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Internal Medicine
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045
Physician Assistant (Medical)
800 N WESTMORELAND RD STE 201
LAKE FOREST, IL 60045

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 Theodore Bosi's NPI number?

The NPI number for Theodore Bosi is 1881153765. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Theodore Bosi located?

Theodore Bosi practices at 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045. The listed phone number is (847) 535-6489.

What is Theodore Bosi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Theodore Bosi enrolled in Medicare?

Yes. Theodore Bosi 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 Theodore Bosi affiliated with any hospitals?

According to CMS data, Theodore Bosi is affiliated with Northwestern Lake Forest Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Bosi was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.