DR. BRIAN MICHAEL BABKA MD
NPI 1881688638
Family Medicine - Sports Medicine in St Charles, IL

Q: What is Brian Babka's NPI number?

The NPI number for Brian Babka is 1881688638. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Brian Babka's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brian Babka was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 08, 2005PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

2900 FOXFIELD RD, ST CHARLES, IL 60174(630) 797-4321(630) 933-3039 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Brian Michael Babka Md NPPES

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

DR. BRIAN MICHAEL BABKA MD (NPI 1881688638) is an individual sports medicine provider in St Charles, Illinois, licensed in Illinois (036105650) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1999).

NPPES Registry Identity

NPI1881688638

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. BRIAN MICHAEL BABKACredential: MD

Location Address2900 FOXFIELD RDSt Charles, IL 60174-5799

Mailing Address2900 Foxfield RdSt Charles, IL 60174-5799 · (630) 797-4321 · Fax (630) 933-3039

Phone(630) 797-4321

Fax(630) 933-3039

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1999

Enumeration DateSeptember 8, 2005

Last NPPES UpdateApril 1, 2013

✔ NPI 1881688638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in IL · 036105650

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2900 FOXFIELD RD, St Charles, IL 60174

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Other Identifiers 5

Other3631498336019001IL · Cdpg Hfs Payee Id

Medicaid036105650IL

Other363149833IL · Group Tin #

Other0222075IL · Blue Cross Group Id

Medicare UPINH5211

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. Brian Michael Babka 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 ID3173414349

PECOS Enrollment IDI20040324001543

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60174 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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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.

DAVID W FLATT D.C.

Chiropractor (Orthopedic)

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

MICHELLE S. KRAMER ATC

Specialist/Technologist (Athletic Trainer)

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 587-5788

MRS. PAMELA MARIE DENHOF ATC

Specialist

2900 FOXFIELD RD, LLA
ST CHARLES, IL 60174

Kane County (630) 587-5788

LAURA KOEPPEL TAGLE MD

Internal Medicine

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

DUKANE ALLERGY ASSOCIATES. LTD

Preferred Provider Organization

2900 FOXFIELD RD, SUITE 206
ST CHARLES, IL 60174

Kane County (630) 584-6127

SCOTT DUNCAN MCNAUGHTON M.D.

Internal Medicine

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

MARIO BLANQUEL

Specialist/Technologist (Athletic Trainer)

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

DR. ROBERT J CALABRIA D.O.

Family Medicine

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 513-8275

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 Brian Babka's NPI number?

The NPI number for Brian Babka is 1881688638. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Brian Babka located?

Brian Babka practices at 2900 Foxfield Rd, St Charles, IL 60174. The listed phone number is (630) 797-4321.

What is Brian Babka's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brian Babka enrolled in Medicare?

Yes. Brian Babka 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.

When was this NPI record last updated?

The NPPES record for Brian Babka was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.