Deactivated NPI 1013919976 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony Daddono , MD

Specialist • Gurnee, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Daddono has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2005

NPI Deactivation Date January 24, 2024

Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Daddono, MD was a registered Specialist practicing in Gurnee, IL. Throughout an active medical career spanning 19 years, Dr. Daddono provided care at the practice location at 1790 NATIONS DR until profile deactivation on 2024-01-24.

Historical Medicare Part B clinical services included professional service for preparation and provision of, professional service for multiple injections of allergen, test for allergy using allergenic extract. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1790 Nations Dr
Suite 102

Gurnee, IL 600319164

Telephone 8476624455

Fax 8476629940

Associated Practice Facility / Clinic

🏢 North Shore Allergy And Asthma, S.c. Facility NPI 1467567156

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Gurnee, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.8 Yrs

State Avg: 38.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Gurnee, IL (1322 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,163	139	$24.56	$15.84
95117 Professional service for multiple injections of allergen	1,942	168	$45.00	$12.49
95004 Test for allergy using allergenic extract	1,624	29	$15.00	$4.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	127	$215.00	$132.73
99213 Established patient office or other outpatient visit, typically 15 minutes	131	76	$140.00	$94.02
94010 Test to measure expiratory airflow and volume	63	52	$80.00	$28.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$325.00	$173.48
94060 Test to measure expiratory airflow and volume changes before and after medication administration	11	11	$130.00	$40.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,582	150	$15.46	$14.89
95117 Professional service for multiple injections of allergen	2,170	185	$45.00	$12.50
95004 Test for allergy using allergenic extract	1,340	28	$15.00	$4.50
99213 Established patient office or other outpatient visit, typically 15 minutes	347	156	$140.00	$95.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	77	$215.00	$134.32
94010 Test to measure expiratory airflow and volume	77	57	$80.00	$28.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$325.00	$176.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,851	165	$15.44	$14.75
95117 Professional service for multiple injections of allergen	2,497	192	$45.00	$12.32
95004 Test for allergy using allergenic extract	1,180	25	$15.00	$4.40
99213 Established patient office or other outpatient visit, typically 15 minutes	460	200	$140.00	$96.81
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	124	11	$147.58	$86.90
94010 Test to measure expiratory airflow and volume	111	72	$80.00	$31.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$325.00	$173.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$90.00	$59.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$215.00	$137.74
92567 Eardrum testing using ear probe	13	11	$50.00	$17.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,959	175	$15.30	$14.45
95117 Professional service for multiple injections of allergen	2,502	201	$45.00	$11.16
95004 Test for allergy using allergenic extract	1,301	24	$15.00	$4.52
99213 Established patient office or other outpatient visit, typically 15 minutes	498	205	$140.00	$76.51
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	111	16	$142.34	$80.56
94010 Test to measure expiratory airflow and volume	102	65	$80.00	$36.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$325.00	$169.71
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$130.00	$56.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	3,206	171	$15.26	$14.21
95117 Professional service for multiple injections of allergen	2,809	196	$45.00	$11.06
95004 Test for allergy using allergenic extract	2,724	49	$15.00	$4.43
99213 Established patient office or other outpatient visit, typically 15 minutes	678	243	$140.00	$75.12
94010 Test to measure expiratory airflow and volume	127	87	$80.00	$35.14
95115 Injection of incremental dosages of allergen	97	12	$38.00	$9.64
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	93	16	$140.00	$81.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$325.00	$167.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$90.00	$46.20
94060 Test to measure expiratory airflow and volume changes before and after medication administration	22	22	$130.00	$60.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	3,114	174	$15.28	$13.51
95117 Professional service for multiple injections of allergen	2,682	188	$45.00	$10.69
95004 Test for allergy using allergenic extract	2,404	43	$15.00	$5.45
99213 Established patient office or other outpatient visit, typically 15 minutes	763	257	$140.00	$73.80
94010 Test to measure expiratory airflow and volume	122	85	$80.00	$36.29
95115 Injection of incremental dosages of allergen	118	13	$38.00	$9.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	40	$90.00	$44.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$325.00	$165.60
94060 Test to measure expiratory airflow and volume changes before and after medication administration	20	20	$130.00	$59.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,602	162	$15.27	$13.49
95004 Test for allergy using allergenic extract	2,454	46	$15.00	$6.75
95117 Professional service for multiple injections of allergen	2,380	185	$45.00	$10.69
99213 Established patient office or other outpatient visit, typically 15 minutes	612	216	$140.00	$73.85
95115 Injection of incremental dosages of allergen	109	11	$38.00	$9.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	52	$90.00	$44.41
94010 Test to measure expiratory airflow and volume	99	72	$80.00	$36.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$325.00	$168.14
94060 Test to measure expiratory airflow and volume changes before and after medication administration	29	26	$130.00	$62.15

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036-037975

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Parthiv Shah , MD

Specialist

NPI 1053313775

Doctor of Medicine (M.D.)

Dr. Michael Cavanaugh , MD

Specialist

NPI 1407858376

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated January 24, 2024

Record deactivated on January 24, 2024

✅

NPI Profile Active January 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2013

Registered at 1790 NATIONS DR, SUITE 102, GURNEE, IL 600319164 (Tel: 8476624455)

📍

Updated Business Mailing Address January 28, 2013

Registered at 1790 NATIONS DR, SUITE 102, GURNEE, IL 600319164 (Tel: 8476624455)

👤

Provider Name / Credentials Updated January 28, 2013

Recorded as ANTHONY DADDONO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2013

Specialist (License #036-037975 in IL)

🟢

Initial NPI Registration & Enumeration August 11, 2005

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: 1013919976

Entity Type:

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

Enumeration Date: August 11, 2005

Last Update: January 28, 2013

Deactivation Date: January 24, 2024

Update or Correct Profile

Mailing Address

1790 Nations Dr, Suite 102

Gurnee, IL 600319164

Phone: 8476624455

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.