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DR. RACHEL MARIE HATFIELD DALTON D.O.
NPI 1235360199
Obstetrics & Gynecology in Bloomington, IL

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment
1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701(309) 454-3456(309) 454-6977 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Apr 29, 2021, Sep 26, 2019 (3 updates tracked since 2019).

About Dr. Rachel Marie Hatfield Dalton D.o. NPPES

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

DR. RACHEL MARIE HATFIELD DALTON D.O. (NPI 1235360199) is an individual obstetrics & gynecology provider in Bloomington, Illinois, licensed in Illinois (125052728) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2007).

NPPES Registry Identity

NPI1235360199
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. RACHEL MARIE HATFIELD DALTONCredential: D.O.
Location Address1505 EASTLAND DR STE 2200Bloomington, IL 61701-7910
Mailing Address1505 Eastland Dr Ste 2200Bloomington, IL 61701-7910 · (309) 454-3456 · Fax (309) 454-6977
Phone(309) 454-3456
Fax(309) 454-6977
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2007
Enumeration DateJuly 27, 2009
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1235360199 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 · 125052728
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.
1505 EASTLAND DR STE 2200, Bloomington, IL 61701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rachel Marie Hatfield Dalton D.o. 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 ID1355590449
PECOS Enrollment IDI20121004000738
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachel Dalton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Illinois Obstetrics And Gynecology, S.C.
Same address
Obstetrics & Gynecology
1505 EASTLAND DR STE 2200
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1942592118 (309) 454-3456
Midwest Center For Women's Health Care, Ltd.
131 mi
Obstetrics & Gynecology
2801 LAKESIDE DR STE 209
Bannockburn, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 120 clinicians in this Medicare group
NPI 1447200654 (847) 562-1410

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
22 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 6

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

DR. JARED K ZOTZ M.D.
Obstetrics & Gynecology
1505 EASTLAND DR STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 454-3456
ABIGAIL G CERVANTES APN
Nurse Practitioner (Women's Health)
1505 EASTLAND DR STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 454-3456
ASHLEY DEMPSEY MSN, APRN, FNP-C
Nurse Practitioner (Family)
1505 EASTLAND DR STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 454-3456
RACHEL MAXWELL CNP
Nurse Practitioner (Family)
1505 EASTLAND DR STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 454-3456
MS. GENEVA A. PETERSEN CNP
Nurse Practitioner (Family)
1505 EASTLAND DR STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 454-3456
HEART OF ILLINOIS OBSTETRICS AND GYNECOLOGY, S.C.
Obstetrics & Gynecology
1505 EASTLAND DR STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 454-3456

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 Rachel Dalton's NPI number?

The NPI number for Rachel Dalton is 1235360199. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Rachel Dalton located?

Rachel Dalton practices at 1505 Eastland Dr Ste 2200, Bloomington, IL 61701. The listed phone number is (309) 454-3456.

What is Rachel Dalton's specialty?

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

Is Rachel Dalton enrolled in Medicare?

Yes. Rachel Dalton 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.

Which organizations bill Medicare for Rachel Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Dalton reassigns Medicare benefits to 2 organizations: Heart Of Illinois Obstetrics And Gynecology, S.C. (Bloomington, IL) and Midwest Center For Women's Health Care, Ltd. (Bannockburn, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Dalton accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rachel Dalton 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 Rachel Dalton affiliated with any hospitals?

According to CMS data, Rachel Dalton is affiliated with Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Dalton was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.