Theresa Mcfadin, FNP-C - Nurse Practitioner in Waterloo, IL

Professional Overview & Biography Verified Profile Summary

Theresa Mcfadin, FNP-C is a certified Nurse Practitioner practicing in Waterloo, IL. With approximately 11 years of clinical experience since completing medical education in 2015, Theresa Mcfadin delivers high-quality medical care to the local community at 6100 ILLINI TRL.

Theresa Mcfadin is affiliated with Emergency Services Midwest Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6100 Illini Trl

Waterloo, IL 622983547

Telephone 6186164782

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waterloo, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +2.7 yrs vs City Avg

City Avg: 8.3 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Waterloo, IL (4929 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcfadin (11 Years) 11 Yrs

Waterloo Specialty Average (8.3 Years) 8.3 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
99284 Emergency department visit with moderate level of medical decision making	118	117	$1205.60	$103.34
99285 Emergency department visit for life threatening or functioning severity	69	69	$1807.88	$151.85
99283 Emergency department visit with low level of medical decision making	28	28	$618.79	$61.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	26	26	$825.23	$101.81
99285 Emergency department visit for life threatening or functioning severity	17	16	$1215.00	$154.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	92	86	$1157.00	$155.66
99284 Emergency department visit with moderate level of medical decision making	81	80	$796.00	$106.58
99283 Emergency department visit with low level of medical decision making	28	28	$486.00	$64.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	126	120	$1151.64	$159.50
99284 Emergency department visit with moderate level of medical decision making	80	76	$791.63	$108.70
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	62	56	$56.00	$7.09
99283 Emergency department visit with low level of medical decision making	16	16	$486.00	$64.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	79	76	$1082.00	$157.23
99284 Emergency department visit with moderate level of medical decision making	68	63	$726.00	$108.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	113	106	$738.88	$104.57
99285 Emergency department visit for life threatening or functioning severity	106	102	$1097.40	$154.13
99283 Emergency department visit with low level of medical decision making	18	18	$486.00	$55.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	14	$61.00	$7.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	104	101	$1469.08	$148.89
99284 Emergency department visit with moderate level of medical decision making	72	71	$897.89	$102.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$231.00	$65.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	17	$61.00	$7.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$237.00	$66.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	93	89	$1555.68	$146.65
99284 Emergency department visit with moderate level of medical decision making	27	27	$1040.74	$99.40
99283 Emergency department visit with low level of medical decision making	19	19	$698.53	$52.43

Medical Specialties & State Licenses

CMS Verified: 2025-03-31

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2015040590

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209013900

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Emergency Services Midwest Sc

4500 Memorial Dr, Belleville, IL 622265360

Phone: 6182575644

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Nurse Practitioner (License #209013900 in IL)

✅

NPI Profile Active April 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 05, 2016

Registered at 6100 ILLINI TRL, WATERLOO, IL 622983547 (Tel: 6186164782)

📍

Updated Business Mailing Address April 05, 2016

Registered at 6100 ILLINI TRL, WATERLOO, IL 622983547 (Tel: 6186164782)

👤

Provider Name / Credentials Updated April 05, 2016

Recorded as THERESA MCFADIN, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2016

Nurse Practitioner (License #209013900 in IL)

🟢

Initial NPI Registration & Enumeration April 05, 2016

First registered as active Individual Practitioner in NPPES Database.

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Theresa Mcfadin , FNP-C