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DR. CHARLES R HERON M.D.
NPI 1942283585
Anesthesiology in Effingham, IL

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
904 W TEMPLE AVE, EFFINGHAM, IL 62401(217) 342-1234(217) 342-1230 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Charles R Heron M.d. NPPES

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

DR. CHARLES R HERON M.D. (NPI 1942283585) is an individual anesthesiology provider in Effingham, Illinois, licensed in Illinois (036-128867) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and is a graduate of Michigan State University College Of Human Medicine (1990).

NPPES Registry Identity

NPI1942283585
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. CHARLES R HERONCredential: M.D.
Location Address904 W TEMPLE AVEEffingham, IL 62401
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 342-1234
Fax(217) 342-1230
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1990
Enumeration DateNovember 29, 2005
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1942283585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 036-128867✔ Licensed in WI · 33270-020
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
904 W TEMPLE AVE, Effingham, IL 62401
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Other Identifiers 2

Medicaid32081000WI
OtherP0036797Rail Road Medicare

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. Charles R Heron M.d. 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 ID6204836703
PECOS Enrollment IDI20111118000517
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 Reassignment

Medicare enrollment records show Charles Heron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Bush Lincoln Health Center
29 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

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 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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
51 services50 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
39 services39 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
34 services33 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

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.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%546 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ROBERT H AND TERESITA S PETTY
Anesthesiology
904 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-1234
MR. STEVEN A NOLAN
Nurse Anesthetist, Certified Registered
904 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-1234
MR. LARRY J CARROLL CRNA, APN
Registered Nurse
904 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-1234
ROBERT H PETTY M.D.
Anesthesiology
904 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-1234
KAISI GREEN
Nurse Anesthetist, Certified Registered
904 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-1234
ALLISON ANNE COGAR M.D.
Anesthesiology
904 W TEMPLE AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-1234

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 Charles Heron's NPI number?

The NPI number for Charles Heron is 1942283585. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Charles Heron located?

Charles Heron practices at 904 W Temple Ave, Effingham, IL 62401. The listed phone number is (217) 342-1234.

What is Charles Heron's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Charles Heron enrolled in Medicare?

Yes. Charles Heron 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 organization bills Medicare for Charles Heron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Heron reassigns Medicare benefits to Sarah Bush Lincoln Health Center (Mattoon, IL). The 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 Charles Heron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Charles Heron affiliated with any hospitals?

According to CMS data, Charles Heron is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Charles Heron was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.