DR. RICHARD A PETRAK M.D.
NPI 1891708608
Internal Medicine - Pulmonary Disease in Berwyn, IL
NPI Status: Active since August 14, 2006
Contact Information
3231 EUCLID AVE
SUITE 405
BERWYN, IL
ZIP 60402
Phone: (708) 783-2644
Fax: (708) 783-3973
- Individual
- Male
- Internal Medicine
- Pulmonary Disease
- PECOS Enrolled
- Medicare Quality Reporting
About RICHARD PETRAK
This page provides the complete NPI Profile along with additional information for Richard Petrak, an internist established in Berwyn, Illinois with a medical specialization in Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1891708608 assigned on August 2006. The practitioner's primary taxonomy code is 207RP1001X with license number 036072033 (IL). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1891708608
- Provider Name
- DR. RICHARD A PETRAK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3231 EUCLID AVE SUITE 405 BERWYN, IL 60402
- Location Phone
- (708) 783-2644
- Location Fax
- (708) 783-3973
- Mailing Address
- 3231 EUCLID AVE SUITE 405 BERWYN, IL 60402
- Mailing Phone
- (708) 783-2644
- Mailing Fax
- (708) 783-3973
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-14-2006
- Last Update Date
- 03-01-2011
- Code Navigator
An internist like Richard Petrak is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Pulmonary Disease
- Taxonomy Code
- 207RP1001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036072033
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | 036072033 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E18723 | MEDICARE UPIN (02) | IL | |
| L60733 | MEDICARE PIN (08) | IL | |
| 036072033 | MEDICAID (05) | IL | |
| 36072033 | OTHER (01) | IL | STATE OF ILLINOIS LICENSE |
| P00062672 | OTHER (01) | IL | RAILROAD MEDICARE PIN |
| L92246 | MEDICARE PIN (08) | IL |
Medicare Participation & PECOS Enrollment Status
Richard Petrak is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF000N)
Tracheostomy, inner cannula (HCPCS:A4623)
1 DME suppliers used 14 Medicare Claims 420 Services Paid
DME-Orthotic Devices (DF000N)
Tracheostomy tube collar/holder, each (HCPCS:A7526)
1 DME suppliers used 14 Medicare Claims 330 Services Paid
Durable Medical Equipment
DME-Other DME (DE000N)
Tracheal suction catheter, any type other than closed system, each (HCPCS:A4624)
1 DME suppliers used 21 Medicare Claims 1410 Services Paid
DME-Other DME (DE000N)
Oropharyngeal suction catheter, each (HCPCS:A4628)
1 DME suppliers used 19 Medicare Claims 19 Services Paid
DME-Other DME (DE000N)
Canister, disposable, used with suction pump, each (HCPCS:A7000)
1 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Other DME (DE005N)
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) (HCPCS:E0465)
1 DME suppliers used 11 Medicare Claims 22 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up inpatient or observation ventilation assistance and management
Initial hospital inpatient care per day, typically 70 minutes
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.
This service was performed 287 times for 48 patientsFollow-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.
This service was performed 42 times for 27 patientsFollow-up inpatient or observation ventilation assistance and management involves continuous monitoring and adjustment of your ventilator while in the hospital. This ensures your lungs receive the right amount of air, promoting your recovery and well-being.
This service was performed 333 times for 38 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 38 times for 37 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60402 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.86
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 100% | 27 |
| Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented | ||
Reviews for DR. RICHARD A PETRAK M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891708608, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BERWYN, IL 60402
BERWYN, IL 60402
BERWYN, IL 60402
BERWYN, IL 60402
BERWYN, IL 60402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891708608, enumerated as an "individual" on August 14, 2006.
The provider is located at 3231 EUCLID AVE SUITE 405 BERWYN, IL 60402 and the phone number is (708) 783-2644.
Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.