Doctor profile · Federal record
Dr. Stanford Tack, MD
Orthopaedic Surgery Physician · Libertyville, IL
- NPI 1558314013
- MIPS 72.7 / 100 · 2023
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
720 Florsheim Dr
Libertyville, IL 600483757
(847) 247-4000 - Mailing address
-
900 Rand RD Ste 300, Attn: Raquel Leon
Des Plaines, IL 600162359
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- August 28, 2012
- Specialty taxonomy
- 207X00000X — NUCC code
- State license (1)
- Illinois #036-075136
- Medicaid
- IL #036-075136
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558314013. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
906
Distinct HCPCS
10
Medicare allowed
$67,679
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 170 | 139 | $94 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 164 | 130 | $132 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 155 | 31 | $1 | |
72100 |
X-ray of lower and sacral spine, 2-3 views | 97 | 93 | $42 | |
72148 |
Mri scan of lower spinal canal without contrast | 62 | 58 | $135 | |
72170 |
X-ray of pelvis, 1-2 views | 59 | 58 | $30 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 54 | 54 | $118 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 35 | 32 | $59 | |
72040 |
X-ray of upper spine, 2-3 views | 33 | 33 | $41 | |
20610 |
Aspiration and/or injection of fluid from large joint | 32 | 22 | $73 |
In context: peer comparison
Among 4 peers in Libertyville Orthopaedic Surgery Physician, average services per provider: 148. This provider delivers 6.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
124
Patients
99
Total drug cost
$1,286
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methylprednisolone | Generic | 108 | 99 | $1,141 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 16 | 0 | $145 |
Frequently asked questions
What is Dr. Stanford Tack's medical specialty?
Dr. Stanford Tack practices Orthopaedic Surgery Physician in Libertyville, IL.
Where does Dr. Stanford Tack practice?
Dr. Stanford Tack practices at 720 Florsheim Dr, Libertyville, IL 600483757. Office phone: 8472474000.
What is Dr. Stanford Tack's NPI?
Dr. Stanford Tack's National Provider Identifier (NPI) is 1558314013, issued by NPPES.
What procedures does Dr. Stanford Tack commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301). Source: CMS Medicare Physician & Other Practitioners file.