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Dr. James Frank Boffa , MD

Surgery • Chicago, IL

Active NPI 1164433181 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

5140 N California Ave, Suite 780
Chicago, IL 606253645

Call 7732736810 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

5140 N California Ave
Suite 780

Chicago, IL 606253645

Telephone 7732736810
Fax 7732715532
Organization at the Same NPPES Address or Phone
Swedish Covenant Health Facility NPI 1588739734

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

NPPES lists 1 additional practice-address record in Skokie, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Endeavor Health Medical Group. 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

1988

Medicare patients

113 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 – by Provider, 2024.

Medicare-allowed amount

About $16,609 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 – by Provider and Service, 2024.

Paid by Medicare

About $12,574 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 – by Provider and Service, 2024.

30-day fills

13 standardized 30-day fills in 2015

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

$114 in 2015

The total cost of these prescriptions in 2015, 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 – by Provider and Drug, 2015.

Open Payments general payments, program year 2025

All general payments: $65.68 across 4 records.

By nature of payment

  • Food and Beverage: $65.68 across 4 records.

Reporting-company totals

  • Medtronic, Inc.: $37.74 across 2 records.
  • VERTEX PHARMACEUTICALS INCORPORATED: $14.44 across 1 record.
  • MESH SUTURE INC: $13.50 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

38 years (graduated 1988)

CMS Doctors and Clinicians data list 1988 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

2006

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, “Does your provider accept Medicare as full payment?”

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)

Dr. Boffa 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 Dr. Boffa 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

Close to the middle for clinicians listed under Surgery in Chicago, IL (2024, 125 clinicians with data). Median for this group: 128. Middle half: 61 to 283.

Fewer Medicare Part B services than 65% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: 234. Middle half: 104 to 407.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery in Chicago, IL (2024, 125 clinicians with data). Median for this group: $16,609. Middle half: $6,202 to $44,149.

A lower Medicare-allowed amount than 65% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $32,979. Middle half: $12,408 to $58,178.

Paid by Medicare

Close to the middle for clinicians listed under Surgery in Chicago, IL (2024, 125 clinicians with data). Median for this group: $12,574. Middle half: $4,744 to $34,419.

A lower Medicare payment amount than 65% of clinicians listed under Surgery in Illinois (2024, 574 clinicians with data). Median for this group: $24,820. Middle half: $9,412 to $45,065.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Boffa are from 2015.

549 active clinicians are listed under Surgery with a practice address in Chicago, IL (1,523 in Illinois).

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

Telehealth indicator in Chicago

5.1% of these 549 clinicians have the CMS telehealth indicator.

28.4% of these 549 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2015), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · 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 · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $65.68.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
TRANSORB General $20.05
Medtronic, Inc.
Food and Beverage
In-kind items and services
TRANSORB General $17.69
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $14.44
MESH SUTURE INC
Food and Beverage
In-kind items and services
Duramesh General $13.50

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
66 66 $59.00 $50.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
30 23 $42.00 $37.56
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
23 23 $75.00 $69.56
49505 Repair of groin hernia (5 years or older)
17 17 $2027.41 $621.02

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 2015.

CMS Part D · Data Year 2015
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 13 61 $114.24 —

Source: CMS Part D by Provider and Drug, 2015; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-10
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES IL 036086529

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
036086529 4 (IL)
Medicaid ID
036086529 2 (IL)
Other Identifier Aetna
5077503 (IL)
Other Identifier Bc Bs Of Il
0001630046 (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

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

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20060922000073

Enrollment State Jurisdiction

IL

PECOS Control ID

7810978020

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

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Endeavor Health Medical Group

9600 Gross Point Rd, Skokie, IL 600761214

Endeavor Health Medical Group

2100 Pfingsten Rd, Glenview, IL 600261301

Secondary Practice Locations

9650 Gross Point Rd Ste 3900

Skokie, IL 600765085

Phone: 8475701700

Clinicians Sharing This Practice Address or Phone

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

3 listed
NPI 1861403891

Doctor of Medicine (M.D.)

NPI 1639299977

Doctor of Osteopathic Medicine (D.O.)

NPI 1619989688

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address February 10, 2021

Registered at 2650 RIDGE AVE STE 1223, EVANSTON, IL 602011700 (Tel: 8475702040)

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NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 28, 2009

Registered at 5140 N CALIFORNIA AVE, SUITE 780, CHICAGO, IL 606253645 (Tel: 7732736810)

📍
Business Mailing Address (Initial Record) September 28, 2009

Registered at 800 AUSTIN ST, SUITE 363 EAST TOWER, EVANSTON, IL 602023439 (Tel: 8478648887)

👤
Provider Name / Credentials (Initial Record) September 28, 2009

Recorded as JAMES BOFFA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

Surgery (license number reported to NPPES: IL 036086529)

🟢
Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164433181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: February 10, 2021
Sole Proprietor: No

Other Surgery Specialists in Chicago

All Surgery Specialists in Chicago

Mailing Address

2650 Ridge Ave Ste 1223

Evanston, IL 602011700

Phone: 8475702040

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.