AMY HALVERSON (MD) – Colon & Rectal Surgery Physician, NPI 1568498186

AMY HALVERSON (MD) is a healthcare provider. based in Chicago, Illinois. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. 036104987 (IL). The NPI Number for AMY HALVERSON (MD) is 1568498186

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
AMY HALVERSON (MD)
NPI
1568498186
Phone
(312) 695-9797
Address
680 N LAKE SHORE DR
Enumeration Date
24 June 2006
Last Update Date
12 February 2013

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
5294866620
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20100629000893
Address ID
IL606115975CH675XXCLAI400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

124 COLORECTAL SURGERY (PROCTOLOGY) in IL

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Provider Addresses for AMY HALVERSON (MD)

  • 680 North Lake Shore Drive, 680, North Lake Shore Drive, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    SUITE 1000

    CHICAGO, IL 606114546

    Phone: (312) 695-9797

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Medtronic, Inc. ($143).

Total Amount

$282

General + Research + Ownership

Payments

2

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-06-29

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
I20100629000893IColorectal Surgery (Proctology)ILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3024$0
46600Diagnostic exam of anus using an endoscope2220$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
99205New patient office or other outpatient visit, 60-74 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMY HALVERSON (MD)?
AMY HALVERSON (MD) — NPI 1568498186 — is the standard way to identify this listing.
Does CMS list AMY HALVERSON (MD) as active?
Yes — AMY HALVERSON (MD) is active in the NPI listing used on this page.
What healthcare role does AMY HALVERSON (MD) hold?
Scheduling teams often label AMY HALVERSON (MD) under Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Does AMY HALVERSON (MD) list a practice location?
Patients near Chicago, Illinois may find AMY HALVERSON (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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