Utku Dolen, M.D.
NPI 1609396464 · Plastic Surgery Physician · Winfield, IL
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utku Dolen, M.D. is a Plastic Surgery Physician provider in Winfield, IL (NPI 1609396464).
Provider details
- NPI number
- 1609396464
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 38335 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
59 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 Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $154 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 14 | $54 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 12 | $87 |
Typical Medicare-allowed amounts for these services range $54–$154 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 36 | 17 |
| Cyclobenzaprine Hcl | 32 | 18 |
| Celecoxib | 23 | 14 |
| Ondansetronbrand: Ondansetron Odt | 16 | 15 |
| Doxycycline Hyclate | 15 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$692 across 9 records (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 (4)
- 1465 Commerce DrAlgonquin, IL 60102-5916Phone: (847) 854-3522Fax: (847) 854-3721
- 304 Randall RdGeneva, IL 60134-4200Phone: (630) 307-7799Fax: (630) 307-2277
- 10507 E 91st St Ste 110Tulsa, OK 74133-5589Phone: (918) 502-1715Fax: (918) 502-7180
- 6465 S Yale Ave Ste 101Tulsa, OK 74136-7803Phone: (918) 502-7175Fax: (918) 502-7180
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Frequently asked questions
- What is Utku Dolen's NPI number?
- Utku Dolen's National Provider Identifier (NPI) is 1609396464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Utku Dolen's specialty?
- Utku Dolen is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Utku Dolen located?
- Utku Dolen's practice location on file with NPPES is 25 N Winfield Rd Ste 2022, Winfield, IL 60190-1379.
- What is Utku Dolen's phone number?
- The practice phone number listed in the NPPES registry for Utku Dolen is (630) 307-7799.
- Does Utku Dolen accept Medicare?
- Utku Dolen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Utku Dolen's NPI active?
- Yes — Utku Dolen's NPI (1609396464) is active in the NPPES registry as of the last update on 2024-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.