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DANA M LOEPKER APN
NPI 1225295967
Nurse Practitioner - Adult Health in O Fallon, IL

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269(618) 233-6044(833) 973-4218 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2021, Mar 17, 2020, Oct 25, 2019 and 1 more (4 updates tracked since 2019).

About Dana M Loepker Apn NPPES

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

DANA M LOEPKER APN (NPI 1225295967) is an individual adult health provider in O Fallon, Illinois, licensed in Illinois (209007076) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Saint Louis University School Of Medicine (2002).

NPPES Registry Identity

NPI1225295967
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDANA M LOEPKERCredential: APN
Location AddressTHREE SAINT ELIZABETH BLVD STE 2800O Fallon, IL 62269-1282
Mailing AddressThree Saint Elizabeth Blvd Ste 2800O Fallon, IL 62269-1282 · (618) 233-6044 · Fax (833) 973-4218
Phone(618) 233-6044
Fax(833) 973-4218
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2002
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 22, 20214 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1225295967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209007076
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 209.007076 (IL)
THREE SAINT ELIZABETH BLVD STE 2800, O Fallon, IL 62269
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Dana M Loepker Apn 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 ID4789755083
PECOS Enrollment IDI20080613000260
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
768 services333 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
138 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services66 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.
36 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

THOMAS B. CAHILL JR. MD
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
REGINA Y CHIU M.D.
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
LORI BETH HELMERS APRN
Nurse Practitioner (Adult Health)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
DR. SCOTT BENJAMIN MARRUS MD
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
ATUL SHAH M.D.
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
VENKATESH ANJAN M.D.
Internal Medicine (Interventional Cardiology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
DR. SHIYAM KUMAR SATWANI M.D
Internal Medicine (Interventional Cardiology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044
MRS. KELLSEY R THOLE NP
Nurse Practitioner (Gerontology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
St. Clair County (618) 233-6044

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 Dana Loepker's NPI number?

The NPI number for Dana Loepker is 1225295967. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Dana Loepker located?

Dana Loepker practices at Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269. The listed phone number is (618) 233-6044.

What is Dana Loepker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dana Loepker enrolled in Medicare?

Yes. Dana Loepker 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.

What insurance does Dana Loepker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Dana Loepker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dana Loepker affiliated with any hospitals?

According to CMS data, Dana Loepker is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Dana Loepker was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.