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DR. CARMEN PATRICIA MACIAS HUERTA M.D.
NPI 1891753588
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2740 W FOSTER AVE STE 412, CHICAGO, IL 60625(773) 293-4362(847) 763-8937 Get Directions Write a Review

NPPES record last updated: February 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carmen Patricia Macias Huerta M.d. NPPES

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

DR. CARMEN PATRICIA MACIAS HUERTA M.D. (NPI 1891753588) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (036085331) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Swedish Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1891753588
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CARMEN PATRICIA MACIAS HUERTACredential: M.D.
Location Address2740 W FOSTER AVE STE 412Chicago, IL 60625-3532
Mailing Address2740 W Foster Ave Ste 412Chicago, IL 60625-3532 · (773) 293-4362 · Fax (847) 763-8937
Phone(773) 293-4362
Fax(847) 763-8937
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateMay 2, 2006
Last NPPES UpdateFebruary 25, 2024
NPPES CertifiedMarch 7, 2022
✔ NPI 1891753588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 036085331
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036085331 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036085331 (IL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 036-085331 (IL)
2740 W FOSTER AVE STE 412, Chicago, IL 60625
Open in Google Maps ↗

Other Identifiers 2

Other02215074IL · Blue Shield Provider Numb
Medicaid036085331IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Carmen Patricia Macias Huerta 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 ID3678754736
PECOS Enrollment IDI20110222000949
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

2

Medicare enrollment records show Carmen Macias Huerta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
6.1 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235
County Of Lake
15 mi
Federally Qualified Health Center (FQHC)
1840 GREEN BAY RD
Highland Park, IL 60035
  • Reassigned Medicare billing, Illinois enrollment
  • 151 clinicians in this Medicare group
NPI 1285663328 (847) 984-5300

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

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 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.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

SAU YU CHEN RDN, LDN
Dietitian, Registered
2740 W FOSTER AVE STE 412
CHICAGO, IL 60625
Cook County (773) 847-8200
ISAAC OBENZINGER LCSW
Social Worker (Clinical)
2740 W FOSTER AVE STE 412
CHICAGO, IL 60625
Cook County (773) 878-8200
AMRITA KUSHAL M.D.
Internal Medicine (Cardiovascular Disease)
2740 W FOSTER AVE STE 412
CHICAGO, IL 60625
Cook County (773) 293-4362
DR. ROBIN GILSON PSYD
Psychologist (Clinical)
2740 W FOSTER AVE STE 412
CHICAGO, IL 60625
Cook County (773) 878-8200
OLADIMEJI KASSIM FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
2740 W FOSTER AVE STE 412
CHICAGO, IL 60625
Cook County (773) 878-8200

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 Carmen Macias Huerta's NPI number?

The NPI number for Carmen Macias Huerta is 1891753588. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Carmen Macias Huerta located?

Carmen Macias Huerta practices at 2740 W Foster Ave Ste 412, Chicago, IL 60625. The listed phone number is (773) 293-4362.

What is Carmen Macias Huerta's specialty?

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

Is Carmen Macias Huerta enrolled in Medicare?

Yes. Carmen Macias Huerta 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 Carmen Macias Huerta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Macias Huerta reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and County Of Lake (Highland Park, 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 Carmen Macias Huerta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Macias Huerta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carmen Macias Huerta 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 Carmen Macias Huerta affiliated with any hospitals?

According to CMS data, Carmen Macias Huerta is affiliated with Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Macias Huerta was last updated on February 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.