Active NPI 1619210192 Individual Practitioner Female Practitioner

Clare Louise Pionto , NP-C

Nurse Practitioner • Dekalb, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Clare Pionto, NP-C is a certified Nurse Practitioner practicing in Dekalb, IL. With approximately 14 years of clinical experience since completing medical education in 2012, Clare Pionto delivers high-quality medical care to the local community at 5 KISH HOSPITAL DR STE 103.

Clare Pionto maintains professional affiliations with Northwestern Medical Faculty Foundation, Central Dupage Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Kish Hospital Dr Ste 103

Dekalb, IL 601159602

Telephone 6302320280

Fax 6302323895

Associated Practice Facility / Clinic

🏢 Kane Cardiology S.c. Facility NPI 1508940883

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dekalb, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +7.0 yrs vs City Avg

City Avg: 7.0 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

32 Specialists

Practicing in Dekalb, IL (4929 Statewide)

Telehealth Adoption Rate

28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pionto (14 Years) 14 Yrs

Dekalb Specialty Average (7.0 Years) 7.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	286	$250.27	$106.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	239	203	$73.64	$13.92
93000 Routine ekg using at least 12 leads including interpretation and report	70	65	$116.74	$11.90
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$156.39	$75.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	365	281	$194.00	$105.49
93000 Routine ekg using at least 12 leads including interpretation and report	100	86	$96.00	$11.95
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$123.00	$74.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	282	$194.00	$106.47
93000 Routine ekg using at least 12 leads including interpretation and report	75	66	$96.00	$11.64
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$123.00	$71.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	31	28	$31.00	$7.03
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	26	24	$45.00	$5.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	406	312	$194.00	$108.65
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	71	65	$31.00	$7.09
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	69	63	$45.00	$6.16
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$96.00	$12.16
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$123.00	$76.73
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$175.00	$77.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	227	$194.00	$91.43
93000 Routine ekg using at least 12 leads including interpretation and report	74	65	$96.00	$14.21
99443 Telephone medical discussion with physician, 21-30 minutes	36	29	$250.00	$91.23
99442 Telephone medical discussion with physician, 11-20 minutes	18	17	$175.00	$63.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	209	$194.00	$90.04
93000 Routine ekg using at least 12 leads including interpretation and report	73	60	$96.00	$14.06
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$123.00	$61.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	208	$194.00	$88.46
93000 Routine ekg using at least 12 leads including interpretation and report	93	71	$96.00	$13.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$145.00	$61.28
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$123.00	$59.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	158	$194.00	$91.01
93000 Routine ekg using at least 12 leads including interpretation and report	93	79	$96.00	$14.37
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$123.00	$61.85

Medical Specialties & State Licenses

CMS Verified: 2024-10-23

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277003173

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IL 209010359

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

041366170 (IL)

Commercial Insurance / Payer ID Medicare Railroad (Group)

CA4748 (IL)

Commercial Insurance / Payer ID Medicare Railroad (Individual)

P0126733 (IL)

Commercial Insurance / Payer ID Medicare Ptan (Individual)

206147246 (IL)

Commercial Insurance / Payer ID Medicare Ptan (Group)

206147 (IL)

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

515 Valley View Dr, Moline, IL 612656175

Phone: 3126950870

Northwestern Medical Faculty Foundation

5 Kish Hospital Dr, Dekalb, IL 601159602

Northwestern Medical Faculty Foundation

1 Kish Hospital Dr, Dekalb, IL 601159602

Phone: 8157667334

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Central Dupage Physician Group

2111 Midlands Ct, Sycamore, IL 601783125

Phone: 8157580000

Central Dupage Physician Group

1800 N Main St, Wheaton, IL 601873112

Phone: 6309334800

Practice Associates & Co-Workers

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

40 Associated Practitioners

Angela Peterson , APRN, CNP

Nurse Practitioner

NPI 1003271586

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Georgios Christopoulos , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1003294422

Doctor of Medicine (M.D.)

Dr. William Towne , MD

Internal Medicine - Interventional Cardiology

NPI 1003803552

Doctor of Medicine (M.D.)

Dr. Nauman Mushtaq , MD

Internal Medicine - Interventional Cardiology

NPI 1023037488

Doctor of Medicine (M.D.)

Susan Collazo , APRN, CNP

Nurse Practitioner

NPI 1043422819

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Sarah Hale , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1053843219

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location October 23, 2024

Registered at 5 KISH HOSPITAL DR STE 103, DEKALB, IL 601159602 (Tel: 6302320280)

👤

Provider Name / Credentials Updated October 23, 2024

Recorded as CLARE PIONTO, NP-C

📍

Updated Business Mailing Address July 25, 2024

Registered at 5 KISH HOSPITAL DR STE 103, DEKALB, IL 601159602 (Tel: 6302320280)

📍

Updated Business Mailing Address March 21, 2018

Registered at 1850 GATEWAY DR, SYCAMORE, IL 601783192 (Tel: 6302320280)

👤

Provider Name / Credentials Updated March 21, 2018

Recorded as CLARE ZOGRAPHOS, NP-C

✅

NPI Profile Active May 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2014

Registered at 351 DELNOR DR STE 100, GENEVA, IL 601344229 (Tel: 6302320280)

📍

Updated Business Mailing Address May 08, 2014

Registered at 351 DELNOR DR STE 100, GENEVA, IL 601344229 (Tel: 6302320280)

👤

Provider Name / Credentials Updated May 08, 2014

Recorded as CLARE PIONTO, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2014

Nurse Practitioner (License #209010359 in IL)

🟢

Initial NPI Registration & Enumeration April 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Clare Pionto. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619210192

Entity Type:

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

Enumeration Date: April 03, 2013

Last Update: October 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 Kish Hospital Dr Ste 103

Dekalb, IL 601159602

Phone: 6302320280

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.