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AMY HALVERSON MD
NPI 1568498186
Colon & Rectal Surgery in Chicago, IL

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611(312) 695-9797 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Halverson Md NPPES

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

AMY HALVERSON MD (NPI 1568498186) is an individual colon & rectal surgery provider in Chicago, Illinois, licensed in Illinois (036104987) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1993).

NPPES Registry Identity

NPI1568498186
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameAMY HALVERSONCredential: MD
Location Address680 N LAKE SHORE DR, SUITE 1000Chicago, IL 60611-4546
Mailing Address680 N Lake Shore Dr, Suite 1000Chicago, IL 60611-4546 · (312) 695-9797
Phone(312) 695-9797
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1993
Enumeration DateJune 24, 2006
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1568498186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in IL · 036104987
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 036104987 (IL)
680 N LAKE SHORE DR, Chicago, IL 60611
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Other Identifiers 3

Medicaid036104987IL
Medicare PIN938760IL
Medicare UPINH19456

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

Amy Halverson 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 ID5294866620
PECOS Enrollment IDI20100629000893
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 7

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
43 services35 patients
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.
37 services26 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.
28 services24 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.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
6 suppliers34 claims720 services$2.63 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
3 suppliers19 claims20 services$6.97 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
3 suppliers13 claims19 services$3.52 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
7 suppliers75 claims2,006 services$4.32 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
6 suppliers55 claims1,428 services$2.44 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
2 suppliers14 claims42 services$5.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

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 Amy Halverson's NPI number?

The NPI number for Amy Halverson is 1568498186. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Amy Halverson located?

Amy Halverson practices at 680 N Lake Shore Dr Suite 1000, Chicago, IL 60611. The listed phone number is (312) 695-9797.

What is Amy Halverson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Amy Halverson enrolled in Medicare?

Yes. Amy Halverson 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 Amy Halverson affiliated with any hospitals?

According to CMS data, Amy Halverson is affiliated with Palos Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amy Halverson was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.