Active NPI 1831258391 Individual Practitioner Female Practitioner

Dr. Carole P. Prete , MD

Internal Medicine • Winnetka, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Carole Prete, MD is a certified Internal Medicine practicing in Winnetka, IL. With approximately 33 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1993, Dr. Prete delivers high-quality medical care to the local community at 530 WINNETKA AVE.

Dr. Prete 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, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

530 Winnetka Ave

Winnetka, IL 600934023

Telephone 8474416867

Fax 8474416895

Associated Practice Facility / Clinic

🏢 Jeanne Farley-Li Md Sc Facility NPI 1255415980

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Winnetka, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +2.3 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

20 Specialists

Practicing in Winnetka, IL (7544 Statewide)

Telehealth Adoption Rate

55.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

44.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prete (33 Years) 33 Yrs

Winnetka Specialty Average (30.7 Years) 30.7 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	583	301	$350.00	$191.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	176	$225.00	$135.12
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	281	156	$45.00	$17.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	246	246	$150.00	$137.19
36415 Insertion of needle into vein for collection of blood sample	173	105	$25.00	$8.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	88	33	$45.00	$24.14
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$125.00	$15.26
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$150.00	$95.92
99442 Telephone medical discussion with physician, 11-20 minutes	40	35	$80.00	$80.53
81002 Urinalysis, manual test	35	29	$15.00	$3.41
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	27	22	$38.00	$15.89
99441 Telephone medical discussion with physician, 5-10 minutes	24	24	$40.00	$40.26
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	20	16	$35.00	$14.84
99443 Telephone medical discussion with physician, 21-30 minutes	19	19	$150.00	$135.38
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	12	$180.00	$56.25
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$115.00	$6.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	528	269	$350.00	$189.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	325	198	$225.00	$134.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	225	225	$150.00	$136.30
36415 Insertion of needle into vein for collection of blood sample	93	81	$25.00	$8.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	91	91	$400.00	$228.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$306.00	$174.14
93000 Routine ekg using at least 12 leads including interpretation and report	60	57	$125.00	$15.49
99213 Established patient office or other outpatient visit, typically 15 minutes	58	50	$150.00	$95.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	25	$45.00	$24.31
81002 Urinalysis, manual test	53	34	$15.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$203.00	$118.51
G0008 Administration of influenza virus vaccine	34	34	$35.00	$32.32
99442 Telephone medical discussion with physician, 11-20 minutes	32	30	$80.00	$80.18
90662 Influenza vaccine split virus, preservative free	30	30	$120.00	$71.93
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	20	$180.00	$54.51
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	24	21	$35.00	$14.96
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	20	15	$40.00	$33.48
99443 Telephone medical discussion with physician, 21-30 minutes	20	18	$150.00	$133.75
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	16	15	$38.00	$15.81
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes	16	16	$72.00	$30.97
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$310.00	$282.54
G0009 Administration of pneumococcal vaccine	14	14	$35.00	$32.32

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	277	182	$132.64	$104.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	267	267	$261.28	$139.77
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	193	193	$144.00	$65.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	143	84	$209.84	$156.66
99213 Established patient office or other outpatient visit, typically 15 minutes	130	112	$62.84	$62.04
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	43	41	$32.00	$8.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$381.00	$179.30
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	$143.24

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	277	168	$128.58	$107.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	236	236	$254.00	$143.16
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	213	213	$144.00	$66.71
99213 Established patient office or other outpatient visit, typically 15 minutes	115	101	$64.21	$58.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	51	$177.42	$156.81
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	46	46	$32.00	$8.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	30	$381.00	$180.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$404.00	$145.17
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	$57.08

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	285	165	$153.06	$86.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	234	234	$254.00	$124.52
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	162	162	$143.43	$67.55
99213 Established patient office or other outpatient visit, typically 15 minutes	89	81	$68.70	$56.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	52	$199.28	$121.31
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$58.00	$56.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$381.00	$183.58
99443 Telephone medical discussion with physician, 21-30 minutes	29	21	$237.00	$86.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	23	23	$32.00	$9.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$160.00	$78.45
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	$136.54
99239 Hospital discharge day management, more than 30 minutes	12	12	$235.00	$115.66

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	392	207	$123.00	$84.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$253.38	$123.44
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	136	136	$143.00	$66.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	64	$173.00	$119.13
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$58.00	$54.85
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$58.00	$54.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	48	46	$32.00	$9.08
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$381.00	$182.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$374.48	$132.71

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	381	232	$123.00	$83.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	211	211	$252.71	$122.51
99213 Established patient office or other outpatient visit, typically 15 minutes	181	149	$58.65	$54.56
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	49	49	$143.00	$64.87
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$58.00	$54.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	41	41	$381.00	$180.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	33	$32.00	$8.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$171.38	$117.97
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$404.00	$133.81

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	386	225	$122.66	$83.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	183	183	$251.37	$121.54
99213 Established patient office or other outpatient visit, typically 15 minutes	152	122	$58.00	$54.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	50	50	$381.00	$179.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	47	$32.00	$8.98
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$58.00	$54.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$404.00	$134.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$171.00	$118.14

Medical Specialties & State Licenses

CMS Verified: 2022-12-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-092888

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.

Secondary Practice Locations

1007 Church St, Suite 100

Evanston, IL 602013624

Phone: 8474754555

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. E. Murphy , MD

Internal Medicine

NPI 1093826638

Doctor of Medicine (M.D.)

Dr. Robert Magrisso , MD

Internal Medicine

NPI 1316058928

Doctor of Medicine (M.D.)

Dr. Jeanne Farley-Li , MD

Internal Medicine

NPI 1487745527

Doctor of Medicine (M.D.)

Dr. Patrick Logan , MD

Internal Medicine

NPI 1790896066

Doctor of Medicine (M.D.)

Dr. Eleanor Smith , MD

Internal Medicine

NPI 1942459292

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location December 20, 2022

Registered at 530 WINNETKA AVE, WINNETKA, IL 600934023 (Tel: 8474416867)

📍

Updated Business Mailing Address December 20, 2022

Registered at 530 WINNETKA AVE, WINNETKA, IL 600934023 (Tel: 8474416869)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2020

Internal Medicine (License #036-092888 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1007 CHURCH ST, SUITE 100, EVANSTON, IL 602013624 (Tel: 8474754555)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 602011718 (Tel: 8475701206)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CAROLE PRETE, MD

🎓

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

Internal Medicine

🟢

Initial NPI Registration & Enumeration December 08, 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: 1831258391

Entity Type:

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

Enumeration Date: December 08, 2006

Last Update: December 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

530 Winnetka Ave

Winnetka, IL 600934023

Phone: 8474416869

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.