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DR. NICHOLAS GEORGE SANSONE D.O.
NPI 1992957369
Emergency Medicine in Olympia Fields, IL

Active since October 16, 2008PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(773) 208-5872 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas George Sansone D.o. NPPES

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

DR. NICHOLAS GEORGE SANSONE D.O. (NPI 1992957369) is an individual emergency medicine provider in Olympia Fields, Illinois, licensed in Indiana (02003773B) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2006).

NPPES Registry Identity

NPI1992957369
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS GEORGE SANSONECredential: D.O.
Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(773) 208-5872
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2006
Enumeration DateOctober 16, 2008
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1992957369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IN · 02003773B✔ Licensed in IN · 02003773A✔ Licensed in IL · 036121607
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
20201 CRAWFORD AVE, Olympia Fields, IL 60461
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. Nicholas George Sansone D.o. 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 ID7214085851
PECOS Enrollment IDI20110304000764
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 10

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
178 services170 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
153 services145 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
122 services117 patients
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.
90 services85 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital

Acute Care Hospitals · Logansport, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150072
Location1101 Michigan AveLogansport, IN 46947 · Cass County
Emergency services Birthing friendly

Monroe Hospital

Acute Care Hospitals · Bloomington, IN
OwnershipProprietary
CMS Certification Number150183
Location4011 S Monroe Medical Park BlvdBloomington, IN 47403 · Monroe County
Emergency services

Pulaski Memorial Hospital

Critical Access Hospitals · Winamac, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151305
Location616 E 13th StWinamac, IN 46996 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
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.

MR. PRANEET SATYENDRA MYLAVARAPU MD
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 855-7297
CHINTAN SHAH DO
Hospitalist
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
MICHAEL JOSEPH MULLAN II PTA
Physical Therapy Assistant
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 852-2540
MARIA STEPHANIE TICSA
Student in an Organized Health Care Education/Training Program
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
DR. TONI SCOTT-TERRY MD
Obstetrics & Gynecology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 679-2160
DR. JOSEPH JOHN ZANGHI D.O.
Urology
20201 CRAWFORD AVE, ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
CONSULTANTS IN PATHOLOGY SC
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-4000
SAMUEL L MACAGBA JR. MD
Anesthesiology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-3857

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 Nicholas Sansone's NPI number?

The NPI number for Nicholas Sansone is 1992957369. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Nicholas Sansone located?

Nicholas Sansone practices at 20201 Crawford Ave, Olympia Fields, IL 60461. The listed phone number is (773) 208-5872.

What is Nicholas Sansone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Sansone enrolled in Medicare?

Yes. Nicholas Sansone 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.

What insurance does Nicholas Sansone accept?

Health plans from CareSource list Nicholas Sansone 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 Nicholas Sansone affiliated with any hospitals?

According to CMS data, Nicholas Sansone is affiliated with Memorial Hospital, Monroe Hospital and Pulaski Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Sansone was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.