Doctor profile · Federal record
Dr. Heidi Memmel Mitidiero, MD
Surgery Physician (CMS: General Surgery) · Surgery Physician · Lake Forest, IL
- NPI 1184679193
- Accepts Medicare
- 27 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1000 N Westmoreland RD
Lake Forest, IL 600451658
(847) 582-2134
fax (847) 535-7285 - Additional location
-
1700 Luther Ln, Caldwell Breast Center
Park Ridge, IL 600681270
(847) 723-3100 - Additional location
-
2701 Patriot Blvd
Glenview, IL 600268039
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- August 11, 2023
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State licenses (2)
- Illinois #036107710 · Illinois #36107710
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184679193. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
123
Distinct HCPCS
7
Medicare allowed
$28,820
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 27 | 27 | $92 | |
19301 |
Partial removal of breast | 18 | 16 | $724 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $174 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $117 | |
38525 |
Biopsy or removal of deep lymph nodes of underarm | 15 | 15 | $279 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 15 | 14 | $133 | |
38900 |
Imaging of lymph nodes during surgery | 14 | 14 | $153 |
In context: peer comparison
Among 2 peers in Lake Forest Surgery Physician, average services per provider: 27. This provider delivers 4.6× the peer median.Open Payments
Industry payments received
All-time total
$149
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Axogen | 2 | $148.85 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Heidi Memmel Mitidiero's medical specialty?
Dr. Heidi Memmel Mitidiero practices Surgery Physician in Lake Forest, IL.
Where does Dr. Heidi Memmel Mitidiero practice?
Dr. Heidi Memmel Mitidiero practices at 1000 N Westmoreland RD, Lake Forest, IL 600451658. Office phone: 8475822134.
What is Dr. Heidi Memmel Mitidiero's NPI?
Dr. Heidi Memmel Mitidiero's National Provider Identifier (NPI) is 1184679193, issued by NPPES.
Does Dr. Heidi Memmel Mitidiero accept Medicare assignment?
Yes. Dr. Heidi Memmel Mitidiero accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Heidi Memmel Mitidiero commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Partial removal of breast (HCPCS 19301); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.