Active NPI 1861796724 Individual Practitioner Female Practitioner

Mariola Kaczkowski

Nurse Practitioner • Park Ridge, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mariola Kaczkowski is a certified Nurse Practitioner practicing in Park Ridge, IL. With approximately 16 years of clinical experience since completing medical education in 2010, Mariola Kaczkowski delivers high-quality medical care to the local community at 1875 DEMPSTER ST.

Mariola Kaczkowski maintains professional affiliations with Endeavor Health Medical Group, Kirill Zhadovich, M.D., S.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1875 Dempster St
Suite 180

Park Ridge, IL 600681186

Telephone 8478250800

Associated Practice Facility / Clinic

🏢 The Spine Center, S.c Facility NPI 1952307092

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Park Ridge, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +7.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

68 Specialists

Practicing in Park Ridge, IL (4929 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaczkowski (16 Years) 16 Yrs

Park Ridge Specialty Average (8.5 Years) 8.5 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	635	123	$160.00	$93.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	369	114	$160.00	$93.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	179	$153.00	$85.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	80	$120.00	$64.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	166	77	$120.00	$64.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	70	$229.00	$103.99
99306 Initial nursing facility visit, typically 45 minutes per day	39	35	$260.00	$158.04
99306 Initial nursing facility visit, typically 45 minutes per day	37	34	$260.00	$158.43
99316 Nursing facility discharge management, more than 30 minutes	22	22	$210.00	$114.31
99495 Transitional care management services for problem of at least moderate complexity	15	15	$448.00	$121.83
99316 Nursing facility discharge management, more than 30 minutes	14	13	$210.00	$114.58
99496 Transitional care management services for problem of high complexity	13	13	$602.00	$165.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	604	148	$120.00	$65.78
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	410	102	$160.00	$93.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	237	68	$160.00	$94.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	185	$153.57	$86.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	215	73	$120.00	$66.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	62	$229.00	$105.33
99213 Established patient office or other outpatient visit, typically 15 minutes	97	90	$75.00	$58.52
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	51	48	$220.00	$135.10
99495 Transitional care management services for problem of at least moderate complexity	40	38	$448.00	$123.73
99496 Transitional care management services for problem of high complexity	28	26	$602.00	$168.72
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	28	26	$220.00	$135.63
99316 Nursing facility discharge management, more than 30 minutes	26	26	$210.00	$115.85
94618 Test for exercise-induced lung stress	22	19	$73.00	$18.68
99306 Initial nursing facility visit, typically 45 minutes per day	17	15	$260.00	$159.89
99316 Nursing facility discharge management, more than 30 minutes	14	14	$210.00	$116.55
99306 Initial nursing facility visit, typically 45 minutes per day	14	12	$260.00	$160.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	869	166	$120.00	$62.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	387	117	$120.00	$62.21
99213 Established patient office or other outpatient visit, typically 15 minutes	169	152	$64.34	$59.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	143	67	$160.00	$81.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	102	$136.76	$88.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	71	$229.00	$92.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	40	$160.00	$81.48
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	61	55	$220.00	$119.29
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	46	42	$220.00	$119.86
99496 Transitional care management services for problem of high complexity	32	31	$544.19	$176.26
99316 Nursing facility discharge management, more than 30 minutes	27	27	$210.00	$92.62
99495 Transitional care management services for problem of at least moderate complexity	26	23	$421.62	$130.42
99316 Nursing facility discharge management, more than 30 minutes	15	15	$210.00	$92.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	933	177	$120.00	$62.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	282	101	$120.00	$62.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	206	99	$160.00	$81.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	124	82	$229.00	$93.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	104	54	$160.00	$81.74
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	72	70	$220.00	$120.85
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	37	36	$220.00	$121.21
99316 Nursing facility discharge management, more than 30 minutes	30	29	$210.00	$94.10
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$58.00	$58.00
99316 Nursing facility discharge management, more than 30 minutes	13	12	$210.00	$94.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	850	163	$160.00	$82.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	682	104	$120.00	$62.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	263	52	$160.00	$82.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	242	127	$229.00	$94.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	29	$120.00	$62.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$125.33	$71.77
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	51	49	$220.00	$120.74
94010 Test to measure expiratory airflow and volume	34	32	$42.00	$7.67
99316 Nursing facility discharge management, more than 30 minutes	26	26	$210.00	$94.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$302.48	$126.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$160.00	$65.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	13	$220.00	$120.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	930	160	$120.00	$62.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	391	130	$160.00	$82.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	338	104	$120.00	$62.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	206	81	$160.00	$82.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	154	$123.63	$71.37
94010 Test to measure expiratory airflow and volume	179	146	$42.93	$7.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	160	123	$229.00	$94.25
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	113	102	$220.00	$122.29
99316 Nursing facility discharge management, more than 30 minutes	44	40	$210.00	$95.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	37	$176.33	$99.86
99316 Nursing facility discharge management, more than 30 minutes	28	27	$210.00	$95.73
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	23	23	$220.00	$122.62
99495 Transitional care management services for problem of at least moderate complexity	22	22	$242.00	$100.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,020	205	$120.00	$62.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	279	100	$160.00	$82.36
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	275	90	$120.00	$62.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	138	$123.00	$70.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	145	106	$229.00	$94.07
94010 Test to measure expiratory airflow and volume	107	90	$42.00	$7.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	29	$160.00	$82.54
99316 Nursing facility discharge management, more than 30 minutes	34	34	$210.00	$95.22
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	23	$220.00	$122.16
99316 Nursing facility discharge management, more than 30 minutes	15	15	$210.00	$95.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,404	91	$160.04	$81.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,045	230	$160.00	$81.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	186	129	$228.34	$93.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	152	14	$120.00	$62.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$122.22	$70.84
99316 Nursing facility discharge management, more than 30 minutes	34	34	$210.00	$94.99
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	22	19	$220.00	$121.87
94010 Test to measure expiratory airflow and volume	15	14	$42.00	$7.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$302.00	$124.46

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209008582

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2150 Pfingsten Rd, Glenview, IL 600261314

Phone: 6476338504

Endeavor Health Medical Group

2100 Pfingsten Rd, Glenview, IL 600261301

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Kirill Zhadovich, M.d., S.c.

7900 N Milwaukee Ave, Niles, IL 607143186

Phone: 8478250800

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Kirill Zhadovich , MD

Internal Medicine

NPI 1003881699

Doctor of Medicine (M.D.)

Diana Heskin

Nurse Practitioner - Family

NPI 1255832424

Natalia Markova , NP

Nurse Practitioner - Family

NPI 1588532642

Nurse Practitioner

Hillary Slingo , PA

Physician Assistant

NPI 1639618085

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2011

Registered at 1875 DEMPSTER ST, SUITE 180, PARK RIDGE, IL 600681186 (Tel: 8478250800)

📍

Updated Business Mailing Address January 06, 2011

Registered at PO BOX 2056, NORTHBROOK, IL 600652056

👤

Provider Name / Credentials Updated January 06, 2011

Recorded as MARIOLA KACZKOWSKI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2011

Nurse Practitioner (License #209008582 in IL)

🟢

Initial NPI Registration & Enumeration January 06, 2011

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: 1861796724

Entity Type:

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

Enumeration Date: January 06, 2011

Last Update: January 06, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2056

Northbrook, IL 600652056

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.