Heather Mechelle Cloum, M.D.
NPI 1154701076ActiveIndividual· Family Medicine· Algonquin, IL
Family Medicine (M.D.) with Advocate Health and Hospitals Corporation and 1 other group, practicing in Algonquin, Illinois. Their prescriptions cost Medicare Part D more than their services did: $361,997 for 5,191 claims, against $54,632 paid for services in 2024. Lists Advocate Sherman Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1154701076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 5, 2015 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036173797 | IL |
| Family Medicine | 207Q00000X | 73987-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL); Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 269 |
|---|---|
| Services billed | 802 across 40 procedure codes |
| Paid by Medicare | $54,632 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,191 · 7,805 30-day fills |
|---|---|
| Patients | 407 |
| Total drug cost | $361,997 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Advocate Health and Hospitals CorporationChicago, IL · 3,118 clinicians
- Mercy Health System CorporationJanesville, WI · 753 clinicians
Hospital affiliations
- Advocate Sherman HospitalElgin, IL
- Mercy Health System CorpJanesville, WI
Other facilities
- Lakeland Health Care CtrNursing home · Elkhorn, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 family medicine physicians in Algonquin · All family medicine physicians in Illinois