Elizabeth A. Nietert, MD
NPI 1619199072ActiveIndividual· Dermatology· Springfield, IL
Dermatology (MD) in Springfield, Illinois, trained at Medical College of Wisconsin (class of 2006). 607 Medicare patients in 2024, $74,406 paid; nearly all of their 85 Part D prescriptions were generic (95%).
Overview
| NPI | 1619199072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 3, 2007 |
| Last updated in NPPES | Aug 16, 2026 |
| Certified by provider | Aug 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 036-130434 | IL |
| Dermatology | 207N00000X | 54439-020 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (IL); Practitioner - Dermatology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 607 |
|---|---|
| Services billed | 2,157 across 51 procedure codes |
| Paid by Medicare | $74,406 |
Part D prescriptions in 2024
| Prescriptions (claims) | 85 · 95 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $2,418 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Dermatology |
Medical groups
- Forefront Dermatology SCSouthlake, TX · 662 clinicians
- Siu Physicians and Surgeons IncSpringfield, IL · 314 clinicians
Hospital affiliation
- Memorial Medical CenterSpringfield, IL
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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