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HEATHER CUSHING MD
NPI 1023093572
Obstetrics & Gynecology in Glen Ellyn, IL

Active since December 07, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 14D0416931 · Waiver
800 ROOSEVELT RD STE 114, GLEN ELLYN, IL 60137(630) 474-2626(630) 474-2629 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Jan 24, 2022 (2 updates tracked since 2022).

About Heather Cushing Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER CUSHING MD (NPI 1023093572) is an individual obstetrics & gynecology provider in Glen Ellyn, Illinois, licensed in Illinois (036092063) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 13, 2028, and is affiliated with Northwestern Medicine Central Dupage Hospital.

NPPES Registry Identity

NPI1023093572
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHEATHER CUSHINGCredential: MD
Location Address800 ROOSEVELT RD STE 114Glen Ellyn, IL 60137-5839
Mailing Address800 Roosevelt Rd Ste 114Glen Ellyn, IL 60137-5839 · (630) 474-2626 · Fax (630) 474-2629
Phone(630) 474-2626
Fax(630) 474-2629
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1993
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1023093572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036092063
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
800 ROOSEVELT RD STE 114, Glen Ellyn, IL 60137
Open in Google Maps ↗

Other Identifiers 1

OtherL007237IL · Champus

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Cushing Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193778918
PECOS Enrollment IDI20050222000096
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0416931

Heather Cushing Gynecology · Glen Ellyn, IL
Active · expires Jan 13, 2028
CLIA Number14D0416931
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorHeather Cushing
Laboratory Phone(630) 474-2626
Laboratory LocationHeather Cushing Gynecology800 Roosevelt Rd - Ste B-114, Glen Ellyn, IL 60137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMC MEDICAL PROFESSIONALS LTD
Obstetrics & Gynecology (Gynecology)
800 ROOSEVELT RD STE 114
GLEN ELLYN, IL 60137
Dupage County (630) 474-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Cushing's NPI number?

The NPI number for Heather Cushing is 1023093572. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Heather Cushing located?

Heather Cushing practices at 800 Roosevelt Rd Ste 114, Glen Ellyn, IL 60137. The listed phone number is (630) 474-2626.

What is Heather Cushing's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Heather Cushing enrolled in Medicare?

Yes. Heather Cushing is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Heather Cushing hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0416931) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Heather Cushing affiliated with any hospitals?

According to CMS data, Heather Cushing is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Heather Cushing was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.