Active NPI 1891781639 Individual Practitioner Female Practitioner

Marybeth Bolanowski , PA

Physician Assistant • Lombard, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marybeth Bolanowski, PA is a certified Physician Assistant practicing in Lombard, IL. With approximately 29 years of clinical experience since completing medical education in 1997, Marybeth Bolanowski delivers high-quality medical care to the local community at 1801 S HIGHLAND AVE STE 220.

Marybeth Bolanowski is affiliated with Dupage Medical Group Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1801 S Highland Ave Ste 220

Lombard, IL 601484932

Telephone 6307901872

Associated Practice Facility / Clinic

🏢 Dupage Medical Group, Ltd. Facility NPI 1841435369

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lombard, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +19.7 yrs vs City Avg

City Avg: 9.3 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Lombard, IL (4958 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bolanowski (29 Years) 29 Yrs

Lombard Specialty Average (9.3 Years) 9.3 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	226	44	$4.00	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	112	82	$157.00	$79.52
20610 Aspiration and/or injection of fluid from large joint	70	51	$606.17	$66.49
27447 Replacement of knee joint, both sides of knee	45	44	$3203.22	$185.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$229.00	$103.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$235.00	$98.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	94	$157.00	$79.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	24	$4.00	$1.08
27447 Replacement of knee joint, both sides of knee	61	58	$3195.82	$184.85
20610 Aspiration and/or injection of fluid from large joint	36	30	$589.33	$66.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$235.00	$99.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	129	32	$4.00	$1.11
99213 Established patient office or other outpatient visit, typically 15 minutes	94	64	$157.00	$81.43
20610 Aspiration and/or injection of fluid from large joint	51	44	$537.33	$64.90
27447 Replacement of knee joint, both sides of knee	48	44	$3175.00	$190.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$235.00	$101.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	34	$4.00	$1.25
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$157.00	$83.77
20610 Aspiration and/or injection of fluid from large joint	50	43	$574.60	$67.32
27447 Replacement of knee joint, both sides of knee	26	26	$3175.00	$191.76
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	15	11	$3593.00	$1219.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	16	$4.00	$1.54
20610 Aspiration and/or injection of fluid from large joint	26	20	$561.00	$61.19
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$157.00	$68.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	181	40	$4.00	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	96	72	$157.00	$67.11
20610 Aspiration and/or injection of fluid from large joint	90	57	$633.53	$62.76
27447 Replacement of knee joint, both sides of knee	42	39	$3269.49	$209.45
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	38	11	$375.00	$283.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$235.00	$98.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	227	30	$4.00	$1.79
20610 Aspiration and/or injection of fluid from large joint	75	53	$315.33	$67.26
99213 Established patient office or other outpatient visit, typically 15 minutes	74	61	$157.00	$65.25
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	48	21	$375.00	$141.81
27447 Replacement of knee joint, both sides of knee	33	32	$3271.21	$204.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$235.00	$97.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	181	23	$4.00	$1.82
99213 Established patient office or other outpatient visit, typically 15 minutes	66	53	$157.00	$65.19
20610 Aspiration and/or injection of fluid from large joint	48	35	$277.71	$59.56
J1030 Injection, methylprednisolone acetate, 40 mg	31	13	$13.00	$5.77
27447 Replacement of knee joint, both sides of knee	28	27	$3430.13	$207.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$235.00	$97.28

Medical Specialties & State Licenses

CMS Verified: 2023-06-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001424

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License IL 085001424

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

085001424 (IL)

Commercial Insurance / Payer ID Railroad Medicare

970023229 (IL)

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

430 Pennsylvania Ave, Glen Ellyn, IL 601374464

Phone: 6304699200

Dupage Medical Group Ltd

1801 S Highland Ave, Lombard, IL 601484932

Phone: 6306274722

Dupage Medical Group Ltd

220 Springfield Dr, Bloomingdale, IL 601082215

Phone: 6304699200

Dupage Medical Group Ltd

40 S Clay St, Hinsdale, IL 605213257

Dupage Medical Group Ltd

1800 N Main St, Wheaton, IL 601873149

Phone: 6306656200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Karen Shelton , RSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1003047770

Dr. Chris Huang , MD

Orthopaedic Surgery

NPI 1013110519

Doctor of Medicine (M.D.)

Marek Myslinski , RSA, CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1023475605

Jannalynne Beilke-Skoug , PA-C

Physician Assistant - Surgical

NPI 1023626769

Physician Assistant (Certified)

Kevin Vermeer , FNP

Nurse Practitioner

NPI 1033839378

Family Nurse Practitioner

Daniel Blaney , PA-C

Physician Assistant

NPI 1063940823

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address June 27, 2023

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)

📍

Updated Practice Location February 10, 2021

Registered at 1801 S HIGHLAND AVE STE 220, LOMBARD, IL 601484932 (Tel: 6307901872)

📍

Updated Business Mailing Address August 20, 2019

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606743698 (Tel: 6304692000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Physician Assistant (License #085001424 in IL)

✅

NPI Profile Active September 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2008

Registered at 4115 FAIRVIEW AVE, DOWNERS GROVE, IL 605152268 (Tel: 6309681881)

📍

Updated Business Mailing Address September 23, 2008

Registered at 4300 COMMERCE CT, SUITE 230, LISLE, IL 605323698 (Tel: 6309681881)

👤

Provider Name / Credentials Updated September 23, 2008

Recorded as MARYBETH BOLANOWSKI, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2008

Physician Assistant (License #085001424 in IL)

🟢

Initial NPI Registration & Enumeration September 27, 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: 1891781639

Entity Type:

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

Enumeration Date: September 27, 2005

Last Update: June 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304699200

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.