Doctor profile · Federal record
Dr. MARYBETH BOLANOWSKI, PA
Physician Assistant · Surgical Physician Assistant · LOMBARD, IL
- NPI 1891781639
- Accepts Medicare
- 29 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1801 S HIGHLAND AVE STE 220
LOMBARD, IL 601484932
(630) 790-1872 - Mailing address
-
PO BOX 713260
CHICAGO, IL 606771260
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- June 27, 2023
- Year of graduation
- 1997 — 29 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Illinois #085001424
- Medicaid
- IL #085001424
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891781639. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
336
Distinct HCPCS
5
Medicare allowed
$25,200
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 120 | 94 | $79 | |
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 100 | 24 | $1 | |
27447 |
Replacement of knee joint, both sides of knee | 61 | 58 | $185 | |
20610 |
Aspiration and/or injection of fluid from large joint | 36 | 30 | $66 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $100 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 41. This provider delivers 8.2× the peer median.Open Payments
Industry payments received
All-time total
$49
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Zimmer Biomet Holdings, Inc. | 1 | $48.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
269
Patients
172
Total drug cost
$1,769
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 90 | 67 | $1,005 |
| Meloxicam | Generic | 89 | 52 | $370 |
| Amoxicillin | Generic | 38 | 19 | $105 |
| Tramadol Hcl | Generic | 29 | 18 | $109 |
| Gabapentin | Generic | 23 | 16 | $180 |