DR. PETER J HULICK MD
NPI 1568443752
Medical Genetics - Clinical Genetics (M.D.) in Evanston, IL
Quality Rating: 91.19 out of 100 score
NPI Status: Active since November 07, 2005
Contact Information
1000 CENTRAL ST
SUITE 620
EVANSTON, IL
ZIP 60201
Phone: (847) 570-1029
Fax: (847) 733-5318
- Individual
- Male
- Years of Experience 25
- Medical Genetics
- Clinical Genetics (M.D.)
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PETER HULICK
This page provides the complete NPI Profile along with additional information for Peter Hulick, a provider established in Evanston, Illinois with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) and more than 25 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 2001. The healthcare provider is registered in the NPI registry with number 1568443752 assigned on November 2005. The practitioner's primary taxonomy code is 207SG0201X with license number 036121377 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1568443752
- Provider Name
- DR. PETER J HULICK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 CENTRAL ST SUITE 620 EVANSTON, IL 60201
- Location Phone
- (847) 570-1029
- Location Fax
- (847) 733-5318
- Mailing Address
- 1000 CENTRAL ST SUITE 620 EVANSTON, IL 60201
- Mailing Phone
- (847) 570-1029
- Mailing Fax
- (847) 733-5318
- Medical School Name
- JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-07-2005
- Last Update Date
- 02-11-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036121377
- License State
- IL
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- MyBlue Plus Bronze? 903 - POS
- Bronze Classic Standard (Choice) - HMO
- Gold Classic Standard (Choice) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Simple Diabetes (Choice) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Peter Hulick is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Peter Hulick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8921107871
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080917000104
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Telephone medical discussion with physician, 21-30 minutes
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 18 times for 18 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.19, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 91.19 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 79.95
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Peter Hulick is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | 2650 RIDGE AVE EVANSTON, IL 60201 | (847) 432-8000 | Acute Care Hospitals |
Reviews for DR. PETER J HULICK MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 6 | 8 | 4 | 4 | 3 | 7 | 5 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 12 | 8 | 8 | 4 | 6 | 7 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 1 + 2 + 8 + 8 + 4 + 6 + 7 + 1 + 0 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1568443752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1144202904 | MR. SCOTT M WEISSMAN M.S., C.G.C. Individual | Genetic Counselor, MS | 1000 CENTRAL ST SUITE 620 EVANSTON, IL 60201 (847) 570-1015 |
1801856836 | DR. RACHEL EVELYN STORY MD MPH Individual | Allergy & Immunology | 1000 CENTRAL ST EVANSTON, IL 60201 (847) 570-2431 |
1043261951 | DR. STEPHANIE ANNE ROSS PH. D. Individual | Psychologist (Clinical) | 1000 CENTRAL ST SUITE 800 EVANSTON, IL 60201 (773) 459-6756 |
1861444895 | SONUS-USA, INC. Organization | Audiologist-Hearing Aid Fitter | 1000 CENTRAL ST SUITE 2280 EVANSTON, IL 60201 (847) 674-5247 |
1467407668 | MARLA LAPPE Individual | Audiologist-Hearing Aid Fitter | 1000 CENTRAL ST STE 717 EVANSTON, IL 60201 (847) 674-5247 |
1477592111 | DR. WENDY S. RUBINSTEIN MD, PHD Individual | Internal Medicine | 1000 CENTRAL ST SUITE 620 EVANSTON, IL 60201 (847) 570-1029 |
1588605745 | GARY JACK DAVIS M.D. Individual | Internal Medicine | 1000 CENTRAL ST SUITE 640 EVANSTON, IL 60201 (847) 570-1410 |
1063434231 | LEWIS MICHAEL COHEN MD Individual | Internal Medicine (Rheumatology) | 1000 CENTRAL ST SUITE 800 EVANSTON, IL 60201 (847) 570-2503 |
1992728968 | RIMA M NASSER MD Individual | Orthopaedic Surgery | 1000 CENTRAL ST SUITE 880 EVANSTON, IL 60201 (847) 570-2825 |
1558375873 | THOMAS C. KEELER MD Individual | Urology | 1000 CENTRAL ST SUITE 720 EVANSTON, IL 60201 (847) 475-8600 |
1750456299 | EDWARD J. ZIESERL MD Individual | Pediatrics | 1000 CENTRAL ST SUITE 765 EVANSTON, IL 60201 (847) 570-1507 |
1871711762 | JAMIE LYNN ALLISON Individual | Speech-Language Pathologist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
1679774731 | AMI N. MIKHAIL PA Individual | Physician Assistant (Surgical) | 1000 CENTRAL ST DEPARTMENT OF ORTHOPAEDIC SURGERY, STE 880 EVANSTON, IL 60201 (847) 570-2825 |
1700087368 | ANITA JOSHUA ALEXANDER PA Individual | Physician Assistant (Surgical) | 1000 CENTRAL ST SUITE 720 EVANSTON, IL 60201 (847) 475-8600 |
1477739043 | NATHAN SCHAU Individual | Audiologist | 1000 CENTRAL ST SUITE 717 EVANSTON, IL 60201 (847) 674-5247 |
1881850824 | MARIA P. SECARAS MA, CCC-A Individual | Audiologist | 1000 CENTRAL ST SUITE 610 EVANSTON, IL 60201 (847) 570-1308 |
1740502178 | MS. KATHERINE A JACKSON OTR/L Individual | Occupational Therapist (Hand) | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
1326361692 | SANDY E. RIZO PT Individual | Physical Therapist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
1598088833 | MRS. ELSA MARIE GOULD DPT Individual | Specialist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
1518280775 | LISA M. ARRIGONI OTR/L Individual | Specialist | 1000 CENTRAL ST SUITE 101 EVANSTON, IL 60201 (847) 570-1260 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568443752, enumerated in the NPI registry as an "individual" on November 07, 2005
The provider is located at 1000 Central St Suite 620 Evanston, Il 60201 and the phone number is (847) 570-1029
The provider's speciality is Medical Genetics with taxonomy code 207SG0201X with a focus in Clinical Genetics (M.D.)
The provider has more than 25 years of experience. He graduated from Jefferson Medical College Of Thomas Jefferson University in 2001.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Telephone medical discussion with physician, 21-30 minutes.
The practitioner is affiliated to the following hospital(s): NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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