Heidi Christine Memmel Mitidiero, MD
NPI 1184679193ActiveIndividual· Surgery· Lake Forest, IL
Surgery (MD) in Lake Forest, Illinois, trained at Northwestern University Feinberg Medical School (class of 1999). Mostly services rather than prescriptions: Medicare paid $32,747 for 95 patients in 2024, with only 17 Part D claims. Axogen reported $8,496 in payments in 2025, mostly speaking and faculty fees.
Overview
| NPI | 1184679193 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 24, 2006 |
| Last updated in NPPES | Aug 11, 2023 |
| Certified by provider | Aug 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 036107710 | IL |
| Surgery | 208600000X | 36107710 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 95 |
|---|---|
| Services billed | 164 across 18 procedure codes |
| Paid by Medicare | $32,747 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $69.88 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Northwestern University Feinberg Medical School |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | General Surgery |
| Secondary specialties | Surgical Oncology |
Medical group
- Northwestern Medical Faculty FoundationChicago, IL · 4,503 clinicians
Hospital affiliations
- Advocate Lutheran General HospitalPark Ridge, IL
- Northwestern Lake Forest HospitalLake Forest, IL
Industry payments (Open Payments)
- 2025$8,496 · 19 payments from 1 company
- 2024$148.85 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axogen | $8,496 | 19 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$6,800 · 1 payment
- Travel and Lodging$958.98 · 7 payments
- Food and Beverage$737.50 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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