NPPES file of Aug 9, 2026

Denise M. Poulos, M.D.

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Oak Lawn, IL

Denise M. Poulos, M.D. is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician with a practice address in Oak Lawn, Illinois, and NPI 1821087669, issued on Oct 14, 2005. Check the license (Illinois 036081009, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1821087669
Name
Denise M. Poulos
Credential
M.D.
Primary taxonomy
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
License number
036081009 IL
Self-reported in NPPES; status is on the state search
Practice location
5851 W 95TH St, Oak Lawn, IL 60453
Phone
(708) 499-9800
Enumerated
Oct 14, 2005
Record last updated
Feb 4, 2022
Fax
(708) 499-6203
Medicare enrollment
Enrolled (PECOS I20230225000344); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5851 W 95TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kathleen Cavato, APNNurse Practitioner1437399961
  2. Foti Chronopoulos, MDObstetrics & Gynecology Physician1881750776
  3. Morufat Ishola Ajayi, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1538960125
  4. Molly Janik, WHNP-BCWomen's Health Nurse Practitioner1164891099
  5. Lisa Johnson, M.D.Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician1629069919
  6. Rebecca Lawrence, APN, WHNPWomen's Health Nurse Practitioner1649608506

Verify Denise M. Poulos in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036081009
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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89% fewer Medicare Part D claims than the average urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician in 2024

84 Medicare Part D claims for 48 beneficiaries, against an average of 732 among the 998 providers of this specialty who prescribed in Part D.

  1. Denise Poulos84
  2. Specialty average732

Most prescribed

  1. Clobetasol Propionate11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 76 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score88.3
  2. Costout of 100 · 30%35.6
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $103.12

4 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 864 providers of this specialty with any payment received $2,558.52 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Denise Poulos$103.12
  2. Specialty average$2,558.52

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Ahc - Arizona PLLCScottsdale, AZ
  2. Womens Health Institute OF Illinois LtdOrland Park, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Denise M. Poulos among 56 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records in Illinois

Denise M. Poulos, M.D. is one of 56 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records with a practice address in Illinois. 98% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 93% newer
  • In a Medicare fileYes · 98% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated1988 · median 2007 among the 45 with a school on file
  • Record last updated2022 · 41% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VF0040X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers in Illinois

There are 56 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records in Illinois.

The 8 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records with the nearest ZIP codes

  1. Lisa Johnson, M.D.Oak Lawn, IL 604531629069919
  2. Carol Bretschneider, MDChicago, IL 606111700146826
  3. Oluwateniola Brown, MDChicago, IL 606111609294438
  4. Julia Geynisman-Tan, MDChicago, IL 606111831465806
  5. Akira Gillingham, M.D.Chicago, IL 606111265871867
  6. Kimberly Kenton, MDChicago, IL 606111629042759
  7. Christina Lewicky-Gaupp, MDChicago, IL 606111194844019
  8. Douglas LuchristtChicago, IL 606111629468244

Common questions

What is Denise M. Poulos, M.D.'s NPI number?

Denise M. Poulos, M.D.'s National Provider Identifier (NPI) is 1821087669, issued on Oct 14, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Denise M. Poulos, M.D. located?

The NPPES record lists a practice address at 5851 W 95TH St, Oak Lawn, IL, 60453. Phone: (708) 499-9800. Providers update this record themselves, so call before visiting.

How can I verify Denise M. Poulos, M.D.'s license?

NPPES lists Illinois license number 036081009, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Denise M. Poulos, M.D. prescribe under Medicare Part D?

In 2024, Denise M. Poulos, M.D. had 84 Medicare Part D claims for 48 beneficiaries; the average among urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician prescribers was 732. Part D covers Medicare prescriptions only.

What is Denise M. Poulos, M.D.'s MIPS final score?

The 2023 MIPS final score is 76 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.