HEIDI BERTRAM MD
NPI 1528011319
Pathology - Anatomic Pathology & Clinical Pathology in Mchenry, IL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050(815) 759-4806(815) 759-4867 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2023, Jun 8, 2023 (2 updates tracked since 2023).

About Heidi Bertram Md NPPES

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

HEIDI BERTRAM MD (NPI 1528011319) is an individual anatomic pathology & clinical pathology provider in Mchenry, Illinois, licensed in Illinois (036127213) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1528011319
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameHEIDI BERTRAMCredential: MD
Location Address4201 W MEDICAL CENTER DRMchenry, IL 60050-8409
Mailing Address35558 N Kenneth DrLake Villa, IL 60046-7152 · (847) 543-4160
Fax(815) 759-4867
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
NPI 1528011319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in IL · 036127213 Licensed in IN · 01051042A
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4201 W MEDICAL CENTER DR, Mchenry, IL 60050

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

Heidi Bertram 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 ID1557513066
PECOS Enrollment IDI20190125001327
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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
840 services416 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
124 services41 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
124 services110 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
53 services20 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
41 services29 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
21 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Surgery (Surgical Critical Care)
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Clinical Medical Laboratory
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Hospitalist
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Internal Medicine
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050
Anesthesiology
4201 W MEDICAL CENTER DR
MCHENRY, IL 60050

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 Heidi Bertram's NPI number?

The NPI number for Heidi Bertram is 1528011319. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Heidi Bertram located?

Heidi Bertram practices at 4201 W Medical Center Dr, Mchenry, IL 60050. The listed phone number is (815) 759-4806.

What is Heidi Bertram's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Heidi Bertram enrolled in Medicare?

Yes. Heidi Bertram 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.

Is Heidi Bertram affiliated with any hospitals?

According to CMS data, Heidi Bertram is affiliated with Advocate Sherman Hospital, Osf Saint Elizabeth Mdl Ctr, Northwestern Medicine Mchenry, Saint Anthony Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Heidi Bertram was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.