Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Evan Sismour

Physician Assistant โ€ข Chicago, IL

Active NPI 1386196590 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

251 E Huron St Ste 16-738
Chicago, IL 606112908

Call 8472345600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

251 E Huron St Ste 16-738

Chicago, IL 606112908

Telephone 8472345600
Fax 8475357203
Organization at the Same NPPES Address or Phone
Northwestern Lake Forest Hospital Facility NPI 1124025176

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Northwestern Medical Faculty Foundation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

166 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $27,327 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $21,773 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

97 standardized 30-day fills in 2018

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,375 in 2018

The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2018.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $15.42 in 2022

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2022.

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Evan Sismour has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Evan Sismour as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Chicago, IL (2024, 588 clinicians with data). Median for this group: 110. Middle half: 45 to 306.

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Chicago, IL (2024, 588 clinicians with data). Median for this group: $9,495. Middle half: $3,730 to $23,698.

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Chicago, IL (2024, 588 clinicians with data). Median for this group: $7,176. Middle half: $2,794 to $17,605.

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Evan Sismour are from 2018.

1,446 active clinicians are listed under Physician Assistant with a practice address in Chicago, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

17.4% of these 1,446 clinicians have the CMS telehealth indicator.

63.6% of these 1,446 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2018), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2022

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $15.42.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
NUCALA General $15.42

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
91 62 $311.00 $104.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
87 56 $217.00 $69.12
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th
73 37 $201.00 $26.47
99239 Hospital discharge day management, more than 30 minutes
50 50 $320.00 $99.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
24 24 $613.92 $151.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
11 11 $420.00 $115.21

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2018.

CMS Part D ยท Data Year 2018
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 27 272 $147.06 26
Levofloxacin Levofloxacin 21 124 $148.91 21
Azithromycin Azithromycin 13 61 $114.98 13
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 13 69 $167.75 12
Potassium Chloride Potassium Chloride 12 102 $767.55 11
Ciprofloxacin Hcl Ciprofloxacin Hcl 11 79 $28.79 11

Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085006711

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES PA MA058746

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20181201000174

Enrollment State Jurisdiction

IL

PECOS Control ID

5294016788

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

251 E Huron, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

251 E Huron St, Chicago, IL 606112908

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1598901423

Doctor of Medicine (M.D.)

NPI 1982049458

Doctor of Medicine (M.D.)

NPI 1346779386

Doctor of Medicine (M.D.)

NPI 1053758029

Doctor of Medicine (M.D.)

Michael Belmont

Hospitalist

NPI 1679005227
NPI 1790739514

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location January 17, 2022

Registered at 251 E HURON ST STE 16-738, CHICAGO, IL 606112908 (Tel: 8472345600)

๐Ÿ“
Updated Business Mailing Address January 17, 2022

Registered at 251 E HURON ST STE 16-738, CHICAGO, IL 606112908 (Tel: 8472345600)

๐Ÿ“
Updated Practice Location January 23, 2020

Registered at 1200 OLD YORK RD STE 2B, ABINGTON, PA 190013720 (Tel: 2154812222)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Physician Assistant (license number reported to NPPES: PA MA058746)

๐Ÿ“
Updated Practice Location December 22, 2018

Registered at 211 E ONTARIO ST STE 200, CHICAGO, IL 606113284 (Tel: 3126947000)

โœ…
NPI Profile Active November 04, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 04, 2016

Registered at 508 S CHURCH ST, MT PLEASANT, PA 156661702 (Tel: 7245471500)

๐Ÿ“
Business Mailing Address (Initial Record) November 04, 2016

Registered at 124 FORREST DR, FOMBELL, PA 161232412

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 04, 2016

Recorded as EVAN SISMOUR

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2016

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration November 04, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386196590
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2016
Last Update: January 17, 2022
Sole Proprietor: No

Other Physician Assistants in Chicago

All Physician Assistants in Chicago

Mailing Address

251 E Huron St Ste 16-738

Chicago, IL 606112908

Phone: 8472345600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.