Active NPI 1972533388 Individual Practitioner Male Practitioner

Dr. Gregory A Dumanian , MD

Surgery - Plastic and Reconstructive Surgery • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Dumanian, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Chicago, IL. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Dumanian delivers high-quality medical care to the local community at 259 E ERIE ST STE 20-2060.

Dr. Dumanian is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, creation of muscle graft to trunk, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

259 E Erie St Ste 20-2060

Chicago, IL 606112987

Telephone 3126956022

Fax 3126955672

Associated Practice Facility / Clinic

🏢 Superior Orthopedics, Inc. Facility NPI 1215939657

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

71 Specialists

Practicing in Chicago, IL (138 Statewide)

Telehealth Adoption Rate

8.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dumanian (39 Years) 39 Yrs

Chicago Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	77	$132.00	$60.26
99213 Established patient office or other outpatient visit, typically 15 minutes	61	55	$219.00	$95.98
15734 Creation of muscle graft to trunk	55	29	$9631.54	$1303.42
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$225.00	$77.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$330.00	$117.53
49595 Initial repair of sliding hernia of abdomen, more than 10 cm in length	20	20	$4370.00	$570.82
99441 Telephone medical discussion with physician, 5-10 minutes	14	13	$100.00	$59.53
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$175.00	$95.88
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	12	12	$3130.00	$372.54
49623 Removal of mesh at same time as hernia repair	12	12	$1164.45	$227.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	70	$219.00	$95.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	59	$132.00	$60.22
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$225.00	$76.25
15734 Creation of muscle graft to trunk	46	25	$9562.00	$1293.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$330.00	$118.67
64905 Transfer of nerve to injured nerve, first stage	25	11	$5038.00	$791.52
49595 Initial repair of sliding hernia of abdomen, more than 10 cm in length	14	14	$4494.86	$687.74
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	12	$1245.00	$307.03
0437T Reinforcement of fascia of abdominal wall with synthetic implant	11	11	$3422.00	$335.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	56	$219.00	$96.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	45	$132.00	$61.40
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$225.00	$77.47
15734 Creation of muscle graft to trunk	48	29	$9681.52	$1285.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$330.00	$122.27
49568 Placement of mesh to repair incisional or abdominal hernia	24	24	$1407.00	$304.63
49560 Repair of incisional or abdominal hernia	19	19	$3674.00	$641.20
0437T Reinforcement of fascia of abdominal wall with synthetic implant	16	16	$3422.00	$335.54
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$175.00	$97.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	55	$132.00	$60.45
99213 Established patient office or other outpatient visit, typically 15 minutes	60	55	$219.00	$97.39
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$225.00	$79.29
15734 Creation of muscle graft to trunk	44	27	$9605.46	$1372.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$330.00	$119.11
49568 Placement of mesh to repair incisional or abdominal hernia	30	28	$1407.00	$315.86
49560 Repair of incisional or abdominal hernia	22	20	$3707.40	$651.05
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$100.00	$60.47
0437T Reinforcement of fascia of abdominal wall with synthetic implant	11	11	$3484.22	$337.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
15734 Creation of muscle graft to trunk	69	37	$9645.15	$1347.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	50	$132.00	$48.66
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$225.00	$82.68
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$219.00	$78.73
49568 Placement of mesh to repair incisional or abdominal hernia	27	27	$1407.00	$325.04
49560 Repair of incisional or abdominal hernia	20	19	$3710.74	$598.46
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$132.00	$49.75
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$175.00	$81.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	60	$132.00	$47.37
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$225.00	$81.73
99213 Established patient office or other outpatient visit, typically 15 minutes	46	40	$219.00	$75.32
15734 Creation of muscle graft to trunk	35	18	$9616.64	$1276.69
64905 Transfer of nerve to injured nerve, first stage	31	12	$5038.00	$776.81
99201 New patient office or other outpatient visit, typically 10 minutes	27	27	$132.00	$49.17
49568 Placement of mesh to repair incisional or abdominal hernia	20	19	$1407.00	$321.18
49560 Repair of incisional or abdominal hernia	16	15	$3811.78	$600.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$330.00	$116.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	63	$132.00	$46.30
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$219.00	$72.78
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$225.00	$78.62
49568 Placement of mesh to repair incisional or abdominal hernia	30	29	$1407.00	$315.40
99201 New patient office or other outpatient visit, typically 10 minutes	30	30	$132.00	$46.42
15734 Creation of muscle graft to trunk	24	12	$9562.00	$1324.25
49560 Repair of incisional or abdominal hernia	21	20	$3708.99	$673.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$330.00	$109.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	71	$132.00	$45.80
99201 New patient office or other outpatient visit, typically 10 minutes	61	61	$132.00	$46.70
15734 Creation of muscle graft to trunk	59	31	$9594.41	$1130.99
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$225.00	$77.19
49568 Placement of mesh to repair incisional or abdominal hernia	43	40	$1407.00	$317.12
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$219.00	$76.89
49560 Repair of incisional or abdominal hernia	32	29	$3788.81	$654.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$323.00	$113.22
49565 Repair of incisional or abdominal hernia, recurrent of secondary, not trapped	12	12	$3900.83	$635.13

Medical Specialties & State Licenses

CMS Verified: 2025-01-13

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036091634

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036091634 (IL)

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

1000 Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Kimberly Huynh , MHS, PA-C

Physician Assistant

NPI 1043927098

MHS, Physician Assistant (Certified)

Dr. Julius Few , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1093750945

Doctor of Medicine (M.D.)

Gabrielle Dunn , PA-C

Physician Assistant

NPI 1215420393

Physician Assistant (Certified)

Dr. Sumanas Jordan , MD

Plastic Surgery

NPI 1225349350

Doctor of Medicine (M.D.)

Courtney Mcneill , PA-C

Physician Assistant

NPI 1285153536

Physician Assistant (Certified)

Lindsay Maas , PA-C

Physician Assistant

NPI 1326689696

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location June 24, 2023

Registered at 259 E ERIE ST STE 20-2060, CHICAGO, IL 606112987 (Tel: 3126956022)

✅

NPI Profile Active June 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2009

Registered at 675 N SAINT CLAIR ST, GALTER 19-250, CHICAGO, IL 606115975 (Tel: 3126956022)

📍

Updated Business Mailing Address June 30, 2009

Registered at 680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 606114546 (Tel: 3126956022)

👤

Provider Name / Credentials Updated June 30, 2009

Recorded as GREGORY DUMANIAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2009

Surgery (License #036091634 in IL)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1972533388

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: January 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

680 N Lake Shore Dr, Suite 1000

Chicago, IL 606114546

Phone: 3126956022

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.