Active NPI 1265446017 Individual Practitioner Male Practitioner

Dr. Paul C Tack , MD

Internal Medicine • Gurnee, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Tack, MD is a certified Internal Medicine practicing in Gurnee, IL. With approximately 31 years of clinical experience since graduating from Emory University School Of Medicine in 1995, Dr. Tack delivers high-quality medical care to the local community at 501 N RIVERSIDE DR.

Dr. Tack accepts Medicare assignment.

Frequently performed procedures and clinical services include injection beneath the skin or into muscle for therapy, diagnosis, or prevention, established patient outpatient office visit, injection, vitamin b-12 cyanocobalamin, up to 1000 mcg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

501 N Riverside Dr
Suite 102

Gurnee, IL 600315918

Telephone 8476258300

Fax 8476258862

Associated Practice Facility / Clinic

🏢 Felicia S Mata Dmd Ltd Facility NPI 1417034851

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gurnee, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +0.4 yrs vs City Avg

City Avg: 30.6 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Gurnee, IL (7544 Statewide)

Telehealth Adoption Rate

36.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tack (31 Years) 31 Yrs

Gurnee Specialty Average (30.6 Years) 30.6 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
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	121	12	$51.00	$14.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	18	$224.00	$130.18
99213 Established patient office or other outpatient visit, typically 15 minutes	47	14	$152.00	$93.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	11	$301.00	$185.26

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	196	30	$224.00	$132.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	162	11	$51.00	$14.57
99213 Established patient office or other outpatient visit, typically 15 minutes	36	15	$152.00	$94.08

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	288	42	$224.00	$133.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	232	18	$51.00	$14.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	74	13	$50.00	$1.65
36415 Insertion of needle into vein for collection of blood sample	66	37	$15.00	$2.83
99213 Established patient office or other outpatient visit, typically 15 minutes	65	27	$152.00	$94.71
99497 Advance care planning, first 30 minutes	12	12	$150.00	$81.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$225.00	$136.45

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	442	50	$224.00	$136.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	364	18	$51.00	$14.94
0358T Whole body composition tissue and fluid measurements with interpretation and report	137	38	$30.00	$29.47
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	88	22	$100.00	$28.27
36415 Insertion of needle into vein for collection of blood sample	69	36	$15.00	$2.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	12	$48.20	$2.02
99213 Established patient office or other outpatient visit, typically 15 minutes	48	18	$152.00	$97.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	26	$301.00	$183.94
99497 Advance care planning, first 30 minutes	31	26	$146.77	$89.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$225.00	$140.18

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	482	50	$224.00	$115.39
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	193	18	$51.00	$15.07
36415 Insertion of needle into vein for collection of blood sample	97	50	$15.00	$2.92
99213 Established patient office or other outpatient visit, typically 15 minutes	60	23	$152.00	$79.60
99354 Prolonged office or other outpatient service first hour	46	30	$275.00	$137.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	25	$301.00	$148.34
0358T Whole body composition tissue and fluid measurements with interpretation and report	18	16	$30.00	$28.40

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	440	58	$224.00	$113.90
99497 Advance care planning, first 30 minutes	217	214	$194.39	$89.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	193	182	$94.45	$55.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	158	131	$92.91	$43.05
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	150	110	$182.67	$136.42
36415 Insertion of needle into vein for collection of blood sample	121	52	$15.00	$2.92
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	110	25	$100.00	$26.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	92	92	$242.08	$179.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	85	85	$187.35	$121.42
99344 New patient home visit, typically 1 hour	78	78	$245.51	$192.85
99213 Established patient office or other outpatient visit, typically 15 minutes	76	29	$152.00	$77.82
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	76	22	$106.58	$43.49
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	72	55	$142.50	$88.90
99343 New patient home visit, typically 45 minutes	72	72	$200.00	$137.66
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	66	57	$40.91	$15.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	12	$51.00	$17.48
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	59	55	$227.12	$190.40
99354 Prolonged office or other outpatient service first hour	44	27	$275.00	$136.44
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	42	38	$131.43	$110.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	17	$301.00	$152.70
G0008 Administration of influenza virus vaccine	27	27	$15.00	$14.70
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$32.61	$19.37
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	16	16	$287.50	$229.81
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	15	15	$181.67	$84.54

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	307	60	$224.00	$106.32
36415 Insertion of needle into vein for collection of blood sample	95	44	$15.00	$2.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	35	$301.00	$139.56
99213 Established patient office or other outpatient visit, typically 15 minutes	50	25	$152.00	$71.44
99497 Advance care planning, first 30 minutes	38	38	$130.05	$86.54
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	34	34	$225.00	$183.84
99354 Prolonged office or other outpatient service first hour	32	21	$275.00	$129.19
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	32	17	$100.00	$25.37
99344 New patient home visit, typically 1 hour	29	29	$250.00	$187.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	23	$86.78	$54.87
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$248.89	$173.49
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	13	11	$180.00	$132.14
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$41.00	$17.19
G0008 Administration of influenza virus vaccine	11	11	$15.00	$14.70

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	288	65	$224.00	$108.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	257	72	$216.00	$103.47
36415 Insertion of needle into vein for collection of blood sample	121	56	$15.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	109	48	$152.00	$74.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	45	$425.00	$205.78
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	35	20	$100.00	$25.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	23	$42.00	$20.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$92.00	$44.47
99354 Prolonged office or other outpatient service first hour	27	22	$275.00	$131.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	14	$150.00	$70.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	15	$301.00	$146.45
99238 Hospital discharge day management, 30 minutes or less	15	15	$150.00	$73.22
G0008 Administration of influenza virus vaccine	15	15	$29.00	$21.29
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$41.00	$17.36

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036097015

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Rita Shamon , NP

Nurse Practitioner

NPI 1336856962

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2014

Registered at 501 N RIVERSIDE DR, SUITE 102, GURNEE, IL 600315918 (Tel: 8476258300)

📍

Updated Business Mailing Address July 29, 2014

Registered at 501 N RIVERSIDE DR, SUITE 216, GURNEE, IL 600315918 (Tel: 8476258300)

👤

Provider Name / Credentials Updated July 29, 2014

Recorded as PAUL TACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Internal Medicine (License #036097015 in IL)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1265446017

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: July 29, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

501 N Riverside Dr, Suite 216

Gurnee, IL 600315918

Phone: 8476258300

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.