Active NPI 1124007422 Individual Practitioner Male Practitioner

Dr. Robert J Sulkowski , MD

Surgery • Niles, IL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Sulkowski, MD is a registered healthcare professional specializing in Surgery in Niles, IL. Practice services are available at 7900 N MILWAUKEE AV under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7900 N Milwaukee Av
Ste 222

Niles, IL 60714

Telephone 8479679430

Fax 8479679218

Associated Practice Facility / Clinic

🏢 North Suburban Surgical Consultants, Llc Facility NPI 1679691547

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Niles, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Niles, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.2% 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	56	$168.00	$83.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$300.00	$137.24
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$233.50	$88.90
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$180.19	$94.59
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$156.62	$74.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	15	$121.00	$52.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$118.00	$59.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$237.00	$118.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	82	$168.00	$74.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	55	$300.00	$143.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$237.00	$118.00
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$161.00	$96.45
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$233.30	$107.75
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$159.00	$78.00
49505 Repair of groin hernia (5 years or older)	13	13	$2167.85	$562.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$112.00	$60.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	50	$168.00	$72.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$236.00	$121.24
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$153.00	$97.92
99221 Initial hospital inpatient care per day, typically 30 minutes	37	34	$233.30	$106.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$300.00	$145.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	19	$121.00	$40.64
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$159.00	$78.75
49505 Repair of groin hernia (5 years or older)	15	15	$2684.00	$666.32
47562 Removal of gallbladder using an endoscope	13	13	$3837.00	$766.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	24	$168.00	$77.78
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$130.90	$80.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$287.07	$176.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$219.12	$116.11
49505 Repair of groin hernia (5 years or older)	15	15	$2542.00	$656.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$265.91	$148.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$437.00	$218.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$253.57	$168.74
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$110.00	$78.71
27447 Replacement of knee joint, both sides of knee	44	42	$4810.61	$248.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$165.00	$115.06
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$4688.41	$248.88
55520 Removal of spermatic cord growth	14	14	$1178.57	$263.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$225.00	$147.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.00	$82.73
49505 Repair of groin hernia (5 years or older)	13	13	$2153.85	$609.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$175.00	$116.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	50	$110.00	$72.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$257.41	$161.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	20	$175.00	$99.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$225.00	$132.53
27447 Replacement of knee joint, both sides of knee	22	22	$9171.89	$242.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$165.00	$102.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$78.42
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$5899.50	$232.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	47	$110.00	$74.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	18	$175.00	$106.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$250.00	$168.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$225.00	$141.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$175.00	$111.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$165.00	$109.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$175.00	$80.41

Medical Specialties & State Licenses

CMS Verified: 2021-12-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-077206

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036077206 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. M Peckler , MD

Surgery

NPI 1376522490

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2021

Surgery (License #036-077206 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 7900 N MILWAUKEE AV, STE 222, NILES, IL 60714 (Tel: 8479679430)

📍

Updated Business Mailing Address July 08, 2007

Registered at 7900 N MILWAUKEE AV, STE 222, NILES, IL 60714 (Tel: 8479679430)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT SULKOWSKI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery

🟢

Initial NPI Registration & Enumeration January 13, 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: 1124007422

Entity Type:

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

Enumeration Date: January 13, 2006

Last Update: December 18, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7900 N Milwaukee Av, Ste 222

Niles, IL 60714

Phone: 8479679430

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.