ANDREW JON HERITCH (MD) – Psychiatry Physician, NPI 1407948607
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
Provider Addresses for ANDREW JON HERITCH (MD)
3116 N Dries Ln
#201
Peoria, IL 61604
Phone: (309) 686-1147
Fax: (309) 686-1185
Type: Location
808 S ELDORADO RD STE 300
BLOOMINGTON, IL 617046009
Phone: (630) 428-7890
Fax: (630) 428-7891
Type: Location
4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE, AZ 852517630
Phone:
Type: Mailing
5901 N PROSPECT RD STE 201A
PEORIA, IL 616144346
Phone: (630) 428-7890
Fax: (630) 428-7891
Type: Location
3116, North Dries Lane, Peoria, Peoria County, Illinois, 61604, United States
#201
PEORIA, IL 61604
Phone: (309) 686-1147
Fax: (309) 686-1185
Type: Mailing
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: 2003-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031216000635 | I | Psychiatry | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 397 | 103 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61604)
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Provider's Procedures
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