Active NPI 1164433181 Individual Practitioner Male Practitioner

Dr. James Frank Boffa , MD

Surgery • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Boffa, MD is a certified Surgery practicing in Chicago, IL. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Boffa delivers high-quality medical care to the local community at 5140 N CALIFORNIA AVE.

Dr. Boffa is affiliated with Endeavor Health Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5140 N California Ave
Suite 780

Chicago, IL 606253645

Telephone 7732736810

Fax 7732715532

Associated Practice Facility / Clinic

🏢 Swedish Covenant Management Services, Inc. Facility NPI 1760432348

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +15.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

579 Specialists

Practicing in Chicago, IL (1624 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boffa (38 Years) 38 Yrs

Chicago Specialty Average (22.3 Years) 22.3 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
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$59.00	$50.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$42.00	$37.56
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$75.00	$69.56
49505 Repair of groin hernia (5 years or older)	17	17	$2027.41	$621.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$59.00	$51.53
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$75.00	$70.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$42.00	$38.11
49505 Repair of groin hernia (5 years or older)	13	13	$1814.00	$605.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$63.00	$53.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$134.68	$91.44
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$64.61	$63.39
49505 Repair of groin hernia (5 years or older)	14	14	$1814.00	$612.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$67.38	$54.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	24	$93.00	$40.84
49505 Repair of groin hernia (5 years or older)	22	22	$1896.45	$617.13
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$58.00	$58.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$29.00	$29.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$65.00	$55.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	28	$93.00	$42.77
49505 Repair of groin hernia (5 years or older)	18	18	$1914.78	$642.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$29.00	$28.68
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$58.00	$56.38
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$226.13	$112.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$65.00	$54.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$29.00	$27.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	22	$93.00	$42.46
49505 Repair of groin hernia (5 years or older)	22	22	$1896.45	$626.15
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$226.00	$110.53
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$30.00	$29.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	74	$93.00	$41.85
99221 Initial hospital inpatient care per day, typically 30 minutes	50	49	$226.00	$109.39
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$65.00	$54.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$29.00	$27.22
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$58.00	$54.50
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$30.00	$29.10
49505 Repair of groin hernia (5 years or older)	13	13	$1814.00	$601.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	111	90	$93.00	$41.97
99221 Initial hospital inpatient care per day, typically 30 minutes	65	65	$226.00	$108.45
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$67.50	$54.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$29.00	$27.26
99201 New patient office or other outpatient visit, typically 10 minutes	21	21	$30.00	$29.09
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$58.00	$54.18
49505 Repair of groin hernia (5 years or older)	12	12	$1814.00	$564.16

Medical Specialties & State Licenses

CMS Verified: 2021-02-10

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036086529

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036086529 4 (IL)

Medicaid State Provider ID

036086529 2 (IL)

Commercial Insurance / Payer ID Aetna

5077503 (IL)

Commercial Insurance / Payer ID Bc Bs Of Il

0001630046 (IL)

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Endeavor Health Medical Group

9600 Gross Point Rd, Skokie, IL 600761214

Endeavor Health Medical Group

2100 Pfingsten Rd, Glenview, IL 600261301

Secondary Practice Locations

9650 Gross Point Rd Ste 3900

Skokie, IL 600765085

Phone: 8475701700

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Giovanni Giannotti , MD

Surgery

NPI 1619989688

Doctor of Medicine (M.D.)

Dr. John Dybis , DO

Surgery

NPI 1639299977

Doctor of Osteopathic Medicine (D.O.)

Dr. Andrew Agos , MD

Surgery

NPI 1861403891

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 10, 2021

Registered at 2650 RIDGE AVE STE 1223, EVANSTON, IL 602011700 (Tel: 8475702040)

✅

NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2009

Registered at 5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 606253645 (Tel: 7732736810)

📍

Updated Business Mailing Address September 28, 2009

Registered at 800 AUSTIN ST, SUITE 363 EAST TOWER, EVANSTON, IL 602023439 (Tel: 8478648887)

👤

Provider Name / Credentials Updated September 28, 2009

Recorded as JAMES BOFFA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

Surgery (License #036086529 in IL)

🟢

Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164433181

Entity Type:

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

Enumeration Date: August 11, 2006

Last Update: February 10, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2650 Ridge Ave Ste 1223

Evanston, IL 602011700

Phone: 8475702040

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.