Active NPI 1497070940 Individual Practitioner Male Practitioner

Dr. Edward Badal Badal , MD

Internal Medicine • Gurnee, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Edward Badal, MD is a certified Internal Medicine practicing in Gurnee, IL. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Badal delivers high-quality medical care to the local community at 731 S IL ROUTE 21.

Dr. Badal is affiliated with Endeavor Health Medical Group 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

731 S Il Route 21
Suite 130

Gurnee, IL 600313813

Telephone 8475663337

Fax 8478163166

Associated Practice Facility / Clinic

🏢 Gurnee Dental Arts Facility NPI 1588919989

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gurnee, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -14.6 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

✓ Offers Virtual Consultations

Medicare Pricing Discount

55.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Badal (16 Years) 16 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	191	$155.01	$101.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	246	246	$283.00	$136.71
99213 Established patient office or other outpatient visit, typically 15 minutes	170	131	$77.65	$68.60
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	71	62	$35.00	$17.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	66	$32.00	$8.32
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	39	27	$195.00	$56.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$404.00	$135.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$381.00	$173.85
99443 Telephone medical discussion with physician, 21-30 minutes	17	13	$278.00	$122.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	200	$77.07	$69.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$283.00	$136.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	223	152	$154.68	$101.98
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	51	51	$32.00	$8.47
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	30	26	$195.00	$55.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$42.00	$37.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$381.00	$174.72
99442 Telephone medical discussion with physician, 11-20 minutes	18	15	$197.00	$69.34
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$404.00	$137.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	284	172	$65.42	$61.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	238	238	$264.36	$139.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	148	$134.14	$102.99
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	81	78	$32.00	$8.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	49	$33.33	$32.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$381.00	$178.48
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	29	23	$210.93	$56.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$148.00	$89.38
99442 Telephone medical discussion with physician, 11-20 minutes	15	11	$177.20	$70.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$404.00	$140.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	260	177	$65.32	$59.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$254.51	$142.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	147	$127.25	$106.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	93	89	$32.00	$8.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$381.00	$179.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$29.00	$29.22
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	25	20	$216.00	$56.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$175.00	$156.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$404.00	$143.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	162	$62.90	$55.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	158	$126.25	$84.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	215	215	$254.00	$124.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	80	77	$32.00	$9.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$32.31	$28.12
99442 Telephone medical discussion with physician, 11-20 minutes	33	26	$132.18	$55.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$381.00	$182.58
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	25	22	$216.00	$57.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$173.53	$119.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$135.00	$81.49
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$404.00	$135.86
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$182.45	$84.85

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	247	$124.21	$83.50
99213 Established patient office or other outpatient visit, typically 15 minutes	260	177	$60.72	$54.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	226	226	$254.00	$123.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	52	$173.00	$117.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	57	56	$32.00	$9.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$381.00	$182.05
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	27	21	$216.00	$56.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$29.00	$27.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$404.00	$134.24

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	322	202	$123.00	$82.47
99213 Established patient office or other outpatient visit, typically 15 minutes	321	206	$59.76	$53.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	187	187	$253.37	$122.44
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	52	48	$32.00	$8.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$381.00	$180.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$29.00	$26.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$171.57	$116.55
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$402.65	$132.67
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	16	14	$216.00	$56.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	301	200	$59.43	$53.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	200	$123.43	$82.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	139	139	$251.37	$121.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	51	48	$32.00	$8.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$381.00	$178.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$171.00	$116.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$29.00	$26.92
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	13	12	$216.00	$56.55

Medical Specialties & State Licenses

CMS Verified: 2021-02-16

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036130633

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036130633 (IL)

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Practice Associates & Co-Workers

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

11 Associated Practitioners

Michelle Ortega , APN, CNP

Nurse Practitioner

NPI 1073531547

Advanced Practice Nurse, Certified Nurse Practitioner

Dr. Claudia Tiwet , MD

Internal Medicine

NPI 1114094646

Doctor of Medicine (M.D.)

Dr. Stacy Panozzo , DO

Internal Medicine

NPI 1316292592

Doctor of Osteopathic Medicine (D.O.)

Dr. Chae Han - Chang , MD

Internal Medicine

NPI 1588777122

Doctor of Medicine (M.D.)

Dr. Gerald Gamalski , MD

Internal Medicine

NPI 1679617716

Doctor of Medicine (M.D.)

Dr. Regan Christopoulos , MD

Internal Medicine

NPI 1740231596

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 16, 2021

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

✅

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2015

Registered at 731 S IL ROUTE 21, SUITE 130, GURNEE, IL 600313813 (Tel: 8475663337)

📍

Updated Business Mailing Address August 19, 2015

Registered at 731 S IL ROUTE 21, GURNEE, IL 600313813 (Tel: 8475663337)

👤

Provider Name / Credentials Updated August 19, 2015

Recorded as EDWARD BADAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Internal Medicine (License #036130633 in IL)

🟢

Initial NPI Registration & Enumeration March 27, 2010

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: 1497070940

Entity Type:

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

Enumeration Date: March 27, 2010

Last Update: February 16, 2021

Sole Proprietor: Yes

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.