Active NPI 1477013407 Individual Practitioner Male Practitioner

Edward John Supan , PA-C

Physician Assistant • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Edward Supan, PA-C is a certified Physician Assistant practicing in Chicago, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Edward Supan delivers high-quality medical care to the local community at 635 N DEARBORN ST.

Edward Supan 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, new patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

635 N Dearborn St

Chicago, IL 606544618

Telephone 3126942273

Fax 3126942129

Associated Practice Facility / Clinic

🏢 Krisiti Kozlov Facility NPI 1164586160

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs +0.2 yrs vs City Avg

City Avg: 7.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate

17.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Supan (8 Years) 8 Yrs

Chicago Specialty Average (7.8 Years) 7.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	127	126	$219.00	$81.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$330.00	$100.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	48	$323.00	$115.37
81003 Automated urinalysis test	38	37	$16.00	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	36	36	$86.00	$16.20
99441 Telephone medical discussion with physician, 5-10 minutes	33	32	$100.00	$50.45
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	22	22	$165.00	$50.28
87502 Detection test by nucleic acid for multiple types influenza virus	20	20	$231.00	$93.88
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	19	19	$95.00	$6.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$505.00	$151.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	173	$219.00	$81.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	73	$323.00	$115.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$330.00	$102.64
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	49	49	$165.00	$50.28
81003 Automated urinalysis test	42	42	$16.00	$2.20
87502 Detection test by nucleic acid for multiple types influenza virus	40	40	$231.00	$93.88
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	33	33	$86.00	$16.20
99441 Telephone medical discussion with physician, 5-10 minutes	24	24	$100.00	$50.09
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$95.00	$6.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$505.00	$151.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	154	$219.00	$82.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	78	$323.00	$116.46
99441 Telephone medical discussion with physician, 5-10 minutes	46	46	$100.00	$51.25
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	45	45	$165.00	$50.58
81003 Automated urinalysis test	42	42	$16.00	$2.21
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	33	32	$95.00	$6.75
87502 Detection test by nucleic acid for multiple types influenza virus	32	32	$231.00	$94.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$330.00	$103.89
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	28	28	$86.00	$16.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$505.00	$154.45
36415 Insertion of needle into vein for collection of blood sample	13	13	$20.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	120	$219.00	$82.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$330.00	$103.05
81003 Automated urinalysis test	34	34	$16.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$323.00	$117.98
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	23	$86.00	$16.53
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	22	22	$165.00	$51.31
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$95.00	$7.21
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$100.00	$51.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	94	$219.00	$67.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$330.00	$98.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	26	$86.00	$15.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$323.00	$98.44
81003 Automated urinalysis test	20	20	$16.00	$2.24
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$231.00	$93.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	84	$219.00	$66.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$330.00	$97.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$323.00	$96.93
81003 Automated urinalysis test	15	15	$16.00	$2.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$86.00	$16.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085007043

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

4732 N Lincoln Ave, Chicago, IL 606258561

Phone: 3129266000

Northwestern Medical Faculty Foundation

7 Blanchard Cir, Wheaton, IL 601892038

Phone: 6306820500

Northwestern Medical Faculty Foundation

1333 W Belmont Ave, Chicago, IL 606575785

Northwestern Medical Faculty Foundation

2701 Patriot Blvd, Glenview, IL 600268039

Phone: 3129266146

Northwestern Medical Faculty Foundation

635 N Dearborn St, Chicago, IL 606544618

Phone: 3129260404

Northwestern Medical Faculty Foundation

10350 Haligus Rd, Huntley, IL 601429545

Northwestern Medical Faculty Foundation

4445 W Irving Park Rd, Chicago, IL 606412808

Northwestern Medical Faculty Foundation

1630 Sherman Ave, Evanston, IL 602013711

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Northwestern Medical Faculty Foundation

4732 N Lincoln Ave, Chicago, IL 606258561

Phone: 8474752273

Northwestern Medical Faculty Foundation

2701 Patriot Blvd, Glenview, IL 600268039

Phone: 8479989910

Northwestern Medical Faculty Foundation

870 N Milwaukee Ave, Vernon Hills, IL 600611521

Northwestern Medical Faculty Foundation

6155 Grand Ave, Gurnee, IL 600311651

Practice Associates & Co-Workers

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

40 Associated Practitioners

Maria Uhler , PA-C

Physician Assistant

NPI 1003342700

Physician Assistant (Certified)

Brenda Ruiz , MSN, FNP-BC

Nurse Practitioner

NPI 1003374182

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Dennis Peacock , MD

Internal Medicine

NPI 1023223021

Doctor of Medicine (M.D.)

Dr. Sindhu Aderson , MD

Family Medicine

NPI 1043530041

Doctor of Medicine (M.D.)

Andrea Navratil , PA-C

Physician Assistant

NPI 1053768556

Physician Assistant (Certified)

Christina Nieto Quiroga , MSN, FNP-BC

Nurse Practitioner

NPI 1053813055

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address May 01, 2019

Registered at 635 N DEARBORN ST, CHICAGO, IL 606544618 (Tel: 3126942273)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Physician Assistant (License #085007043 in IL)

✅

NPI Profile Active March 25, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location March 25, 2019

Registered at 635 N DEARBORN ST, CHICAGO, IL 606544618 (Tel: 3126942273)

📍

Updated Business Mailing Address March 25, 2019

Registered at 5954 W EDDY ST, CHICAGO, IL 606344218 (Tel: 7732552902)

👤

Provider Name / Credentials Updated March 25, 2019

Recorded as EDWARD SUPAN, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2019

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477013407

Entity Type:

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

Enumeration Date: March 25, 2019

Last Update: May 01, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

635 N Dearborn St

Chicago, IL 606544618

Phone: 3126942273

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.