Active NPI 1184679193 Individual Practitioner Female Practitioner

Dr. Heidi Christine Memmel Mitidiero , MD

Surgery • Lake Forest, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Heidi Memmel Mitidiero, MD is a certified Surgery practicing in Lake Forest, IL. With approximately 27 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1999, Dr. Memmel Mitidiero delivers high-quality medical care to the local community at 1000 N WESTMORELAND RD.

Dr. Memmel Mitidiero is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 N Westmoreland Rd

Lake Forest, IL 600451658

Telephone 8475822134

Fax 8475357285

Associated Practice Facility / Clinic

🏢 Northwestern Lake Forest Hospital Facility NPI 1124025176

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lake Forest, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +0.2 yrs vs City Avg

City Avg: 26.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Lake Forest, IL (1624 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Memmel Mitidiero (27 Years) 27 Yrs

Lake Forest Specialty Average (26.8 Years) 26.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	32	$219.00	$93.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$625.00	$227.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$323.00	$131.70
19301 Partial removal of breast	17	16	$4000.00	$712.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$330.00	$115.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$199.26	$91.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$454.00	$174.02
19301 Partial removal of breast	18	16	$2386.67	$723.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$330.00	$117.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$1534.67	$278.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$318.73	$132.53
38900 Lymph node imaging during surgery	14	14	$573.21	$152.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	71	$161.00	$89.01
99213 Established patient office or other outpatient visit, typically 15 minutes	38	37	$161.00	$71.19
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	37	37	$1255.00	$254.58
19301 Partial removal of breast	36	34	$1580.00	$766.46
38900 Lymph node imaging during surgery	35	35	$425.00	$160.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$352.00	$168.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$332.00	$177.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$239.71	$128.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$352.00	$144.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	78	$153.00	$71.54
19301 Partial removal of breast	48	42	$1612.92	$768.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$341.00	$147.17
38900 Lymph node imaging during surgery	28	27	$425.00	$151.73
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1299.82	$243.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$324.26	$145.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$224.00	$106.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$341.00	$140.92
99213 Established patient office or other outpatient visit, typically 15 minutes	73	70	$146.00	$54.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	49	$314.90	$116.52
19301 Partial removal of breast	47	42	$1580.00	$761.10
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1255.00	$248.57
38900 Lymph node imaging during surgery	29	29	$425.00	$160.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$225.00	$82.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$213.00	$85.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$427.00	$182.76
19125 Removal of breast growth, open procedure	11	11	$1436.73	$541.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	75	$146.00	$54.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$341.00	$139.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$305.79	$114.58
19301 Partial removal of breast	27	24	$1580.00	$764.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$213.00	$83.92
38900 Lymph node imaging during surgery	24	24	$425.00	$164.48
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$1255.00	$265.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$102.00	$27.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$231.91	$76.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$323.52	$167.47
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$141.00	$73.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$283.50	$140.05
38900 Lymph node imaging during surgery	28	28	$408.93	$157.36
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1184.93	$252.94
19301 Partial removal of breast	24	21	$1532.50	$712.93
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$144.43	$52.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$201.00	$109.81
19303 Total removal of breast	13	13	$2509.23	$1117.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$402.42	$214.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	55	$134.00	$74.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$292.57	$167.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$252.00	$147.87
19301 Partial removal of breast	22	21	$1538.18	$748.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$189.00	$109.73
38900 Lymph node imaging during surgery	16	16	$400.00	$159.05
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1146.00	$245.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$112.18

Medical Specialties & State Licenses

CMS Verified: 2023-08-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036107710

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 36107710

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

2701 Patriot Blvd, Glenview, IL 600268039

Phone: 8477244536

Secondary Practice Locations

1700 Luther Ln, Caldwell Breast Center

Park Ridge, IL 600681270

Phone: 8477233100

2701 Patriot Blvd

Glenview, IL 600268039

Phone: 8475822134

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Casey Dugan , PA-C

Physician Assistant

NPI 1013508852

Physician Assistant (Certified)

Kate Niesen , PA-C

Physician Assistant

NPI 1063036093

Physician Assistant (Certified)

Dr. Roger Hecker , MD

Internal Medicine

NPI 1083630925

Doctor of Medicine (M.D.)

Dr. Dean Tsarwhas , MD

Internal Medicine - Medical Oncology

NPI 1093797987

Doctor of Medicine (M.D.)

Charlotte Ghena , CGC

Genetic Counselor, MS

NPI 1104433184

Dr. Bindiya Patel , MD

Internal Medicine - Hematology & Oncology

NPI 1184087173

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 11, 2023

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8475822134)

📍

Updated Business Mailing Address August 11, 2023

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8475822134)

📍

Updated Practice Location March 27, 2023

Registered at 2701 PATRIOT BLVD, GLENVIEW, IL 600268039 (Tel: 8475822134)

👤

Provider Name / Credentials Updated March 27, 2023

Recorded as HEIDI MEMMEL MITIDIERO, MD

✅

NPI Profile Active February 19, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2009

Registered at 1700 LUTHER LN, CALDWELL BREAST CENTER, PARK RIDGE, IL 600681270 (Tel: 8477233100)

📍

Updated Business Mailing Address February 19, 2009

Registered at 1700 LUTHER LN, CALDWELL BREAST CENTER, PARK RIDGE, IL 600681270 (Tel: 8477233100)

👤

Provider Name / Credentials Updated February 19, 2009

Recorded as HEIDI MEMMEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2009

Surgery (License #36107710 in IL)

🟢

Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184679193

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2006

Last Update: August 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 N Westmoreland Rd

Lake Forest, IL 600451658

Phone: 8475822134

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.