Active NPI 1912928805 Individual Practitioner Female Practitioner

Dr. Caroline M. Halperin , DO

Internal Medicine • Normal, IL

Professional Overview & Biography Verified Profile Summary

Dr. Caroline Halperin, DO is a registered healthcare professional specializing in Internal Medicine in Normal, IL. Practice services are available at 1302 FRANKLIN AVE LOWR LEVEL under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1302 Franklin Ave Lowr Level

Normal, IL 617613551

Telephone 3094512920

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Normal, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.9 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Normal, IL (7544 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	171	46	$630.00	$58.00
99213 Established patient office or other outpatient visit, typically 15 minutes	165	47	$205.00	$64.40
97597 Removal of tissue from wound, 20.0 sq cm or less	107	38	$470.00	$34.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	43	$305.00	$94.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$455.00	$130.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	313	101	$200.00	$65.81
11042 Removal of skin and tissue, 20.0 sq cm or less	254	90	$610.00	$58.44
97597 Removal of tissue from wound, 20.0 sq cm or less	222	82	$455.00	$36.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	65	$295.00	$96.23
97598 Removal of tissue from wound, each additional 20.0 sq cm	103	20	$228.54	$25.27
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	70	16	$205.00	$26.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	35	$125.00	$35.76
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	44	15	$720.00	$82.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$440.00	$133.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$385.00	$143.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	404	111	$435.00	$35.93
11042 Removal of skin and tissue, 20.0 sq cm or less	280	93	$580.00	$59.00
99213 Established patient office or other outpatient visit, typically 15 minutes	204	80	$190.00	$66.99
97598 Removal of tissue from wound, each additional 20.0 sq cm	79	14	$210.00	$25.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	58	$280.00	$98.86
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	61	23	$690.00	$84.64
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	49	15	$730.00	$94.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	41	$120.00	$35.72
97597 Removal of tissue from wound, 20.0 sq cm or less	20	16	$435.00	$96.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$420.00	$135.53
93923 Complete ultrasound study of arm and leg arteries	18	17	$110.00	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	299	90	$502.44	$60.16
97597 Removal of tissue from wound, 20.0 sq cm or less	255	92	$283.96	$37.20
99213 Established patient office or other outpatient visit, typically 15 minutes	126	61	$174.48	$49.42
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	80	19	$766.25	$83.27
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	79	21	$178.78	$27.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$256.98	$78.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	39	$120.98	$26.00
97597 Removal of tissue from wound, 20.0 sq cm or less	42	30	$299.52	$93.58
97598 Removal of tissue from wound, each additional 20.0 sq cm	33	11	$318.48	$26.53
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	31	13	$671.23	$97.66
99213 Established patient office or other outpatient visit, typically 15 minutes	22	15	$185.00	$70.54
93923 Complete ultrasound study of arm and leg arteries	16	15	$136.50	$22.58
11042 Removal of skin and tissue, 20.0 sq cm or less	16	13	$588.13	$115.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$130.00	$42.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	181	75	$220.00	$23.84
11042 Removal of skin and tissue, 20.0 sq cm or less	150	78	$310.00	$61.22
99213 Established patient office or other outpatient visit, typically 15 minutes	100	59	$146.00	$50.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$213.00	$78.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	31	$102.00	$25.48
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	23	13	$562.00	$86.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	242	91	$220.00	$23.01
11042 Removal of skin and tissue, 20.0 sq cm or less	242	92	$310.00	$60.23
99213 Established patient office or other outpatient visit, typically 15 minutes	136	61	$140.71	$48.69
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	79	21	$100.33	$26.18
97598 Removal of tissue from wound, each additional 20.0 sq cm	61	12	$170.98	$10.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$97.60	$24.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	35	$197.40	$75.31
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	37	16	$545.22	$82.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$214.84	$70.47
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	25	12	$250.16	$24.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	160	79	$310.00	$58.78
97597 Removal of tissue from wound, 20.0 sq cm or less	115	60	$220.00	$22.41
99213 Established patient office or other outpatient visit, typically 15 minutes	105	58	$134.00	$48.74
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	80	27	$252.22	$10.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	30	$92.00	$24.39
11042 Removal of skin and tissue, 20.0 sq cm or less	36	25	$310.00	$57.20
97597 Removal of tissue from wound, 20.0 sq cm or less	34	24	$220.00	$22.39
99213 Established patient office or other outpatient visit, typically 15 minutes	34	17	$134.00	$48.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$190.00	$71.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$189.00	$75.22
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	27	12	$266.59	$12.22

Medical Specialties & State Licenses

CMS Verified: 2022-04-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036094006

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Marcia Hauter

Family Medicine

NPI 1548288327

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address May 02, 2022

Registered at 611 W. PARK ST, FAPC, URBANA, IL 61801

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Internal Medicine (License #036094006 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1302 FRANKLIN AVE LOWR LEVEL, NORMAL, IL 617613551 (Tel: 3094512920)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2451, BLOOMINGTON, IL 617022451 (Tel: 3092682172)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CAROLINE HALPERIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration July 23, 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: 1912928805

Entity Type:

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

Enumeration Date: July 23, 2006

Last Update: May 02, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W. Park St, Fapc

Urbana, IL 61801

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.