Midwest Dermpath LLC
NPI 1194591529 · Dermatopathology (Pathology) Physician · Bartonville, IL
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Midwest Dermpath LLC is a Dermatopathology (Pathology) Physician organization in Bartonville, IL (NPI 1194591529).
Provider details
- NPI number
- 1194591529
- Entity type
- Organization
- Primary specialty
- Dermatopathology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tesfu Hailu, Lab Director(309) 404-6583
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
283 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 195 | $66 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 57 | $68 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 31 | $94 |
Typical Medicare-allowed amounts for these services range $66–$94 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-11-27
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Frequently asked questions
- What is Midwest Dermpath LLC's NPI number?
- Midwest Dermpath LLC's National Provider Identifier (NPI) is 1194591529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Dermpath LLC?
- Midwest Dermpath LLC is classified in the NPPES registry as Dermatopathology (Pathology) Physician (Allopathic & Osteopathic Physicians).
- Where is Midwest Dermpath LLC located?
- Midwest Dermpath LLC's practice location on file with NPPES is 409 Keller St, Bartonville, IL 61607-2556.
- What is Midwest Dermpath LLC's phone number?
- The practice phone number listed in the NPPES registry for Midwest Dermpath LLC is (309) 404-6583.
- Does Midwest Dermpath LLC accept Medicare?
- Midwest Dermpath LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Midwest Dermpath LLC?
- The authorized official listed on Midwest Dermpath LLC's NPPES record is Tesfu Hailu, Lab Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Dermpath LLC's NPI active?
- Yes — Midwest Dermpath LLC's NPI (1194591529) is active in the NPPES registry as of the last update on 2024-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.