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DR. AMY EPPSTEIN M.D.
NPI 1962761122
Pediatrics in Sparta, IL

Active since May 09, 2012PECOS Enrolled
207 S BURNS AVE, SPARTA, IL 62286(618) 443-3084(618) 443-1339 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Jul 18, 2023, Jun 4, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Amy Eppstein M.d. NPPES

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

DR. AMY EPPSTEIN M.D. (NPI 1962761122) is an individual pediatrics provider in Sparta, Illinois, licensed in Illinois (036.142712) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962761122
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AMY EPPSTEINCredential: M.D.
Location Address207 S BURNS AVESparta, IL 62286-1857
Mailing Address207 S Burns AveSparta, IL 62286-1857 · (618) 443-1337 · Fax (618) 443-1383
Phone(618) 443-3084
Fax(618) 443-1339
Sole ProprietorNo
Enumeration DateMay 9, 2012
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1962761122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036.142712✔ Licensed in OH · 35.128125
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
207 S BURNS AVE, Sparta, IL 62286
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy Eppstein M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Amy Eppstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sparta Community Hospital D/B/A Quality Healthcare Clinics
Same address
Multi-Specialty
818 E. BROADWAY STREET
Sparta, IL 62286
  • Reassigned Medicare billing, Illinois enrollment
  • 51 clinicians in this Medicare group
NPI 1114984226 (618) 443-1337

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62286 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.

Other Providers at the Same Location NPPES

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

SPARTA COMMUNITY HOSPITAL D/B/A QUALITY HEALTHCARE CLINICS
Clinic/Center (Rural Health)
207 S BURNS AVE
SPARTA, IL 62286
Randolph County (618) 443-3084

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 Eppstein's NPI number?

The NPI number for Amy Eppstein is 1962761122. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Amy Eppstein located?

Amy Eppstein practices at 207 S Burns Ave, Sparta, IL 62286. The listed phone number is (618) 443-3084.

What is Amy Eppstein's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amy Eppstein enrolled in Medicare?

Yes. Amy Eppstein is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Eppstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Eppstein reassigns Medicare benefits to Sparta Community Hospital D/B/A Quality Healthcare Clinics (Sparta, 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 Amy Eppstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Eppstein was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.