James Boffa, M.D.
NPI 1164433181 · Surgery Physician · Chicago, IL
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Boffa, M.D. is a Surgery Physician provider in Chicago, IL (NPI 1164433181).
Provider details
- NPI number
- 1164433181
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036086529 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
136 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 66 | $50 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 30 | $38 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 23 | $70 |
| Repair of Groin Hernia (5 Years Or Older)49505 | 17 | $621 |
Typical Medicare-allowed amounts for these services range $38–$621 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 9650 Gross Point Rd Ste 3900Skokie, IL 60076-5085Phone: (847) 570-1700Fax: (847) 982-1098
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Frequently asked questions
- What is James Boffa's NPI number?
- James Boffa's National Provider Identifier (NPI) is 1164433181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Boffa's specialty?
- James Boffa is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Boffa located?
- James Boffa's practice location on file with NPPES is 5140 N California Ave, Chicago, IL 60625-3645.
- What is James Boffa's phone number?
- The practice phone number listed in the NPPES registry for James Boffa is (773) 273-6810.
- Does James Boffa accept Medicare?
- James Boffa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Boffa's NPI active?
- Yes — James Boffa's NPI (1164433181) is active in the NPPES registry as of the last update on 2021-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.