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Kierstyn B Green

Speech-Language Pathologist โ€ข Effingham, IL

Active NPI 1558883215 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2803 S Banker St
Effingham, IL 624012978

Call 2175401500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2803 S Banker St

Effingham, IL 624012978

Telephone 2175401500
Organization at the Same NPPES Address or Phone
Effingham Community Unit School Dist 40 Facility NPI 1679684674

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in O Fallon, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Empowerme Rehabilitation Illinois Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Medicare-allowed amount

About $20,888 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $15,835 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kierstyn Green has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Effingham and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Kierstyn Green are from 2023.

19 active clinicians are listed under Speech-Language Pathologist with a practice address in Effingham, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Effingham

0% of these 19 clinicians have the CMS telehealth indicator.

15.8% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
285 15 $159.00 $73.29

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IL 146014216

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MO 2017023547

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20220525000623

Enrollment State Jurisdiction

IL

PECOS Control ID

6709263189

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Empowerme Rehabilitation Illinois Llc

7108 Marine Rd, Edwardsville, IL 620254282

Phone: 6187069759

Secondary Practice Locations

634 N Main St Ste 3

O Fallon, IL 62269

Phone: 6186324222

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location October 01, 2020

Registered at 2803 S BANKER ST, EFFINGHAM, IL 624012978 (Tel: 2175401500)

๐Ÿ“
Updated Business Mailing Address October 01, 2020

Registered at 9995 N COUNTRY DR, EFFINGHAM, IL 624014710 (Tel: 2178212153)

๐Ÿ“
Updated Business Mailing Address September 17, 2019

Registered at 1011 N MARTIN ST, EFFINGHAM, IL 624011747 (Tel: 2178212153)

๐Ÿ“
Updated Practice Location July 26, 2018

Registered at 634 N MAIN ST STE 3, O FALLON, IL 62269 (Tel: 6186324222)

๐Ÿ“
Updated Business Mailing Address July 26, 2018

Registered at 506 PARK HILLS DR, EFFINGHAM, IL 624013118

๐Ÿ‘ค
Provider Name / Credentials Updated July 26, 2018

Recorded as KIERSTYN GREEN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2018

Speech-Language Pathologist (license number reported to NPPES: MO 2017023547)

๐Ÿ”„
NPI Profile Reactivated July 25, 2018

Record officially reactivated for active practice on July 25, 2018

โš ๏ธ
NPI Profile Deactivated June 08, 2018

NPPES lists this NPI as deactivated as of June 08, 2018; the reason is not published.

โœ…
NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) July 13, 2017

Registered at 16216 BAXTER RD STE 330, CHESTERFIELD, MO 630174778 (Tel: (636) 733-3330)

๐Ÿ“
Business Mailing Address (Initial Record) July 13, 2017

Registered at 16216 BAXTER RD STE 330, CHESTERFIELD, MO 630174778 (Tel: 6367333330)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) July 13, 2017

Recorded as KIERSTYN BONE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Speech-Language Pathologist (license number reported to NPPES: MO 2017023547)

๐ŸŸข
Initial NPI Registration & Enumeration July 13, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558883215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2017
Last Update: October 01, 2020
Sole Proprietor: Yes

Mailing Address

9995 N Country Dr

Effingham, IL 624014710

Phone: 2178212153

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.