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MS. ELISABETH I WALLNER M.D., M.P.H.
NPI 1912919440
Internal Medicine in Chicago, IL

Active since August 13, 2006Opted out of Medicare · through Jan 1, 2027
95.01/100
CMS Quality Rating
676 N SAINT CLAIR ST, SUITE 2250, CHICAGO, IL 60611(312) 926-0888(312) 926-0889 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Elisabeth I Wallner M.d., M.p.h. NPPES

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

MS. ELISABETH I WALLNER M.D., M.P.H. (NPI 1912919440) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (36089720) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912919440
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. ELISABETH I WALLNERCredential: M.D., M.P.H.
Location Address676 N SAINT CLAIR ST, SUITE 2250Chicago, IL 60611-2927
Mailing AddressPo Box 11075Chicago, IL 60611-0075 · (312) 926-0888 · Fax (312) 926-0889
Phone(312) 926-0888
Fax(312) 926-0889
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateApril 21, 2011
✔ NPI 1912919440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 36089720
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
676 N SAINT CLAIR ST, Chicago, IL 60611
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Other Identifiers 5

Medicaid036089720IL
Other9750416IL · Cigna Healthcare
Other001627372IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified601030IL
Medicare UPING07589IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Elisabeth I Wallner M.d., M.p.h. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

MS. LISA RAUBOLT
Social Worker (Clinical)
676 N SAINT CLAIR ST
CHICAGO, IL 60611
Cook County (312) 926-4512
JULIANNA L ROTH MD
Internal Medicine
676 N SAINT CLAIR ST, SUITE 2300
CHICAGO, IL 60611
Cook County (312) 926-6000
ANKIT BHARAT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
676 N SAINT CLAIR ST, SUITE 650
CHICAGO, IL 60611
Cook County (312) 926-7628
JOAQUIN CARLOS BRIEVA MD
Dermatology
676 N SAINT CLAIR ST, SUITE 1600
CHICAGO, IL 60611
Cook County (312) 695-8106
JOHN M SHAW MD
Internal Medicine (Medical Oncology)
676 N SAINT CLAIR ST, STE 2140
CHICAGO, IL 60611
Cook County (312) 664-5400
MELVIN J GOLDSTEIN, M.D.,S.C.
Internal Medicine (Gastroenterology)
676 N SAINT CLAIR ST, SUITE 1525
CHICAGO, IL 60611
Cook County (312) 337-1556
DR. HOWARD M. AROF M.D.
Obstetrics & Gynecology
676 N SAINT CLAIR ST, #1880
CHICAGO, IL 60611
Cook County (312) 642-9844
DR. MARIA MATSANGOU M.D.
Internal Medicine (Hematology & Oncology)
676 N SAINT CLAIR ST, SUITE 850
CHICAGO, IL 60611
Cook County (312) 695-6182

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 Elisabeth Wallner's NPI number?

The NPI number for Elisabeth Wallner is 1912919440. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Elisabeth Wallner located?

Elisabeth Wallner practices at 676 N Saint Clair St Suite 2250, Chicago, IL 60611. The listed phone number is (312) 926-0888.

What is Elisabeth Wallner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elisabeth Wallner enrolled in Medicare?

No. Elisabeth Wallner has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Elisabeth Wallner was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.