BETH HEPPERMANN (M.D.) – Emergency Medicine Physician, NPI 1093912917

BETH HEPPERMANN (M.D.) is a healthcare provider. based in Belleville, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036.125972 (IL). The NPI Number for BETH HEPPERMANN (M.D.) is 1093912917

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
BETH HEPPERMANN (M.D.)
NPI
1093912917
Phone
(618) 233-7750
Address
4500 Memorial Dr
Enumeration Date
3 July 2007
Last Update Date
10 May 2019

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6186512727
Graduation Year
2007 (19 years ago)
PAC ID
7517156367
Group Practice PAC ID
0547516932
Professional Enrollment ID
I20110107001085
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for BETH HEPPERMANN (M.D.)

  • 4500 Memorial Dr

    Belleville, IL 622265360

    Phone: (618) 233-7750

    Fax: (618) 257-6860

    Type: Location

  • 2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States

    SUITE 920

    EMERYVILLE, CA 946081826

    Phone: (510) 350-2600

    Fax: (510) 879-9100

    Type: Mailing

  • Holy Family Hospital, 200, Health Care Drive, Greenville, Bond County, Illinois, 62246, United States

    GREENVILLE, IL 622461154

    Phone: (618) 664-1230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110107001085IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making393373$0
99284Emergency department visit with moderate level of medical decision making113111$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only9999$0
99291Critical care, first 30-74 minutes9493$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547516932View full group profile
NameSpecialtyState
Nurse PractitionerLA
Family PracticeMO
-IL
Nurse PractitionerIL
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

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Frequently asked questions

Is there an official ID for BETH HEPPERMANN (M.D.) in U.S. healthcare records?
The official identifier for BETH HEPPERMANN (M.D.) is NPI 1093912917.
Is there an active status for BETH HEPPERMANN (M.D.)?
For scheduling context, BETH HEPPERMANN (M.D.) is shown as active in the registry.
What clinical focus is listed for BETH HEPPERMANN (M.D.)?
At a glance, BETH HEPPERMANN (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BETH HEPPERMANN (M.D.)?
Travel planning: use Belleville, Illinois as the reference point for BETH HEPPERMANN (M.D.), then confirm.
When was this NPI issued?
Enumeration for BETH HEPPERMANN (M.D.) is noted as July 3, 2007 where the registry provides it.

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