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Therapists and counselors who accept Medicare in O'Fallon, IL
CMS lists 14 clinicians in this specialty with a practice address in O'Fallon. Accept Medicare assignment (the Medicare-approved amount as full payment): 12. Offer telehealth: 2.
Since January 1, 2024, Medicare Part B also covers licensed marriage and family therapists and mental health counselors, alongside clinical social workers.
Typical amount Medicare approves for a visit in ZIP 62269 (2024 Medicare rates, the latest CMS has published): $70, of which you pay about $18 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Diana L. Appleton
✓ Accepts Medicare assignmentGraduated 1981FemaleOther offices in O'Fallon: 1Scott E. Baer, CSW
✓ Accepts Medicare assignment✓ TelehealthGraduated 1989MaleElla M. Duncan
✓ Accepts Medicare assignmentGraduated 2001FemaleRick K. Fagan
✓ Accepts Medicare assignmentGraduated 2013MaleDoreen K. Forbes
✓ Accepts Medicare assignmentGraduated 1985FemaleOther offices in O'Fallon: 1John M. Frisbie
✓ Accepts Medicare assignmentGraduated 2013MaleLori A. McAllister
✓ Accepts Medicare assignmentGraduated 2007FemaleSheri L. Miller
✓ Accepts Medicare assignmentGraduated 1984FemaleJanice L. Sheridan, CSW
✓ Accepts Medicare assignment✓ TelehealthGraduated 1981 · Saint Louis University School of MedicineFemaleMelissa J. Sundberg, CSW
✓ Accepts Medicare assignmentGraduated 2018FemaleLynn S. Underwood
✓ Accepts Medicare assignmentGraduated 2015FemaleRachel Wasylenko
✓ Accepts Medicare assignmentGraduated 2021FemaleRachel Morgan, CSW
May accept assignmentGraduated 2012FemaleSuzanne M. Mullins, CSW
May accept assignmentGraduated 2007FemaleOther offices in O'Fallon: 1
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
Other specialists in O'Fallon
- Primary care doctors81
- Nurse practitioners80
- Cardiologists20
- Dermatologists4
- Orthopedic surgeons5
- Neurologists8
- Gastroenterologists9
- Ophthalmologists7
- Optometrists17
- Podiatrists5
- Oncologists5
- Physical therapists13
- Occupational therapists8
- Speech therapists7
- Chiropractors12
- Gynecologists8
- Neurosurgeons4
Other care in O'Fallon
Hospitals · Dialysis centers · Home health agencies · Hospices
Nearby cities
Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).