Active NPI 1821084393 Individual Practitioner Female Practitioner

Dr. Melinda Diane Einfalt , MD

Internal Medicine • Barrington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Melinda Einfalt, MD is a registered healthcare professional specializing in Internal Medicine in Barrington, IL. Practice services are available at 6000 GARLANDS LN STE 180 under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6000 Garlands Ln Ste 180

Barrington, IL 600106029

Telephone 8476207185

Fax 8478523771

Associated Practice Facility / Clinic

🏢 Advocate Health And Hospitals Corporation Facility NPI 1700824455

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Barrington, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Barrington, IL (7544 Statewide)

Telehealth Adoption Rate

41.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	695	283	$22.00	$8.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	308	203	$393.23	$184.98
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	307	223	$35.00	$16.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	208	$279.00	$131.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	221	221	$332.00	$132.22
93000 Routine ekg using at least 12 leads including interpretation and report	121	110	$82.00	$14.62
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	86	47	$73.00	$32.44
G0008 Administration of influenza virus vaccine	79	79	$60.00	$33.45
99213 Established patient office or other outpatient visit, typically 15 minutes	75	64	$198.00	$93.63
90662 Influenza vaccine split virus, preservative free	67	67	$125.00	$80.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	38	$67.00	$23.90
90480 Admn sarscov2 vacc 1 dose	40	39	$85.00	$43.41
91322 Sarscov2 vac 50 mcg/0.5ml im	40	39	$250.00	$153.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$371.00	$169.05
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$35.00	$20.34
99496 Transitional care management services for problem of high complexity	13	12	$713.00	$286.17
99495 Transitional care management services for problem of at least moderate complexity	12	11	$507.00	$211.86
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$498.00	$168.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	647	300	$22.00	$8.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	279	$259.00	$132.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$316.00	$133.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	210	155	$365.48	$184.73
G0008 Administration of influenza virus vaccine	121	120	$51.28	$32.05
90662 Influenza vaccine split virus, preservative free	110	110	$106.07	$71.90
93000 Routine ekg using at least 12 leads including interpretation and report	87	81	$82.00	$15.23
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$178.00	$93.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	32	$63.00	$24.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$474.00	$164.41
G0009 Administration of pneumococcal vaccine	27	27	$44.74	$30.86
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$369.44	$270.80
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	26	13	$68.20	$33.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$353.00	$153.06
99496 Transitional care management services for problem of high complexity	18	16	$679.00	$286.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$118.00	$59.06
99495 Transitional care management services for problem of at least moderate complexity	14	12	$482.00	$211.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	630	305	$22.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	488	268	$235.00	$134.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	221	221	$316.00	$136.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	169	126	$332.00	$189.36
99213 Established patient office or other outpatient visit, typically 15 minutes	143	106	$161.00	$95.90
G0008 Administration of influenza virus vaccine	108	106	$41.00	$31.09
93000 Routine ekg using at least 12 leads including interpretation and report	101	92	$82.00	$15.31
90662 Influenza vaccine split virus, preservative free	100	98	$73.00	$68.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$112.00	$60.13
G0009 Administration of pneumococcal vaccine	39	39	$41.00	$31.31
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	32	32	$346.00	$279.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$353.00	$175.38
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	26	16	$69.00	$34.55
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	12	$63.00	$24.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$474.00	$175.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	573	280	$224.00	$137.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	191	150	$316.00	$192.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$316.00	$140.18
93000 Routine ekg using at least 12 leads including interpretation and report	143	117	$82.00	$15.91
G0008 Administration of influenza virus vaccine	124	123	$41.00	$17.98
90662 Influenza vaccine split virus, preservative free	117	117	$73.00	$65.26
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$153.00	$95.89
G0444 Annual depression screening, 5 to 15 minutes	92	92	$41.00	$19.81
36415 Insertion of needle into vein for collection of blood sample	79	71	$22.00	$3.00
G0009 Administration of pneumococcal vaccine	26	26	$41.00	$17.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$159.00	$124.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	16	$63.00	$24.26
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	18	13	$67.00	$35.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$474.00	$176.96
99495 Transitional care management services for problem of at least moderate complexity	14	12	$482.00	$218.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$353.00	$177.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	273	$213.00	$115.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	224	188	$301.00	$154.65
36415 Insertion of needle into vein for collection of blood sample	202	144	$22.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	182	182	$316.00	$122.27
G0008 Administration of influenza virus vaccine	159	157	$41.00	$17.74
93000 Routine ekg using at least 12 leads including interpretation and report	157	143	$82.00	$18.31
90662 Influenza vaccine split virus, preservative free	147	145	$69.07	$60.40
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$146.00	$80.00
99443 Telephone medical discussion with physician, 21-30 minutes	40	38	$146.00	$114.97
99442 Telephone medical discussion with physician, 11-20 minutes	37	36	$102.00	$78.77
G0009 Administration of pneumococcal vaccine	36	36	$41.00	$17.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$427.00	$220.81
G0444 Annual depression screening, 5 to 15 minutes	22	22	$41.00	$19.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$154.38	$118.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$353.00	$175.39
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	20	20	$69.00	$18.32
99495 Transitional care management services for problem of at least moderate complexity	19	18	$482.00	$195.77
96127 Assessment of emotional or behavioral problems	18	15	$18.00	$5.50
90670 Pneumococcal vaccine for injection into muscle	15	15	$318.00	$223.23
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$63.00	$48.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$37.00	$19.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$474.00	$180.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	529	275	$205.91	$114.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$316.00	$122.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	159	137	$297.35	$153.98
G0008 Administration of influenza virus vaccine	152	150	$41.00	$17.39
90662 Influenza vaccine split virus, preservative free	118	116	$67.03	$54.82
93000 Routine ekg using at least 12 leads including interpretation and report	116	100	$82.00	$17.95
99213 Established patient office or other outpatient visit, typically 15 minutes	95	81	$137.89	$77.78
G0009 Administration of pneumococcal vaccine	49	49	$41.00	$17.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	34	34	$35.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$149.60	$107.78
96127 Assessment of emotional or behavioral problems	26	24	$18.00	$5.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$349.00	$175.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$419.27	$210.52
90670 Pneumococcal vaccine for injection into muscle	20	20	$318.00	$208.52
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$69.00	$18.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$474.00	$181.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$93.82	$48.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	809	327	$15.43	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	606	277	$195.08	$112.42
99213 Established patient office or other outpatient visit, typically 15 minutes	190	140	$133.53	$76.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	189	189	$260.59	$122.44
G0008 Administration of influenza virus vaccine	151	148	$41.00	$21.46
90662 Influenza vaccine split virus, preservative free	125	122	$63.72	$52.16
93000 Routine ekg using at least 12 leads including interpretation and report	118	109	$79.05	$17.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	54	54	$385.61	$176.71
G0009 Administration of pneumococcal vaccine	46	46	$41.00	$21.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	39	$269.00	$152.87
90670 Pneumococcal vaccine for injection into muscle	27	27	$318.00	$197.39
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$35.00	$17.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$90.00	$46.39
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$349.00	$174.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$149.00	$105.59
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$64.29	$18.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$405.43	$218.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	863	316	$13.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	636	265	$184.29	$112.13
99213 Established patient office or other outpatient visit, typically 15 minutes	200	142	$129.00	$76.71
85610 Blood test, clotting time	194	15	$30.00	$5.28
G0008 Administration of influenza virus vaccine	160	156	$41.00	$26.65
93000 Routine ekg using at least 12 leads including interpretation and report	144	121	$78.00	$17.84
90662 Influenza vaccine split virus, preservative free	131	131	$60.00	$47.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$228.00	$121.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	62	$247.00	$151.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$345.00	$178.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	43	$87.00	$44.62
G0009 Administration of pneumococcal vaccine	38	38	$41.00	$26.65
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	29	$35.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	21	21	$306.24	$185.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$149.00	$89.55
96127 Assessment of emotional or behavioral problems	17	12	$18.00	$6.15
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$349.00	$173.52
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$61.00	$18.13

Medical Specialties & State Licenses

CMS Verified: 2025-02-13

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036079060

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036079060 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Meghana Tipparthy

Internal Medicine

NPI 1710337886

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address February 13, 2025

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293

📍

Updated Practice Location December 14, 2021

Registered at 6000 GARLANDS LN STE 180, BARRINGTON, IL 600106029 (Tel: 8476207185)

📍

Updated Business Mailing Address December 14, 2021

Registered at 6000 GARLANDS LN STE 180, BARRINGTON, IL 600106029 (Tel: 8476207185)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2021

Internal Medicine (License #036079060 in IL)

✅

NPI Profile Active July 14, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2007

Registered at 912 NORTHWEST HWY, STE 107, FOX RIVER GROVE, IL 600211925 (Tel: 8474625100)

📍

Updated Business Mailing Address July 14, 2007

Registered at 912 NORTHWEST HWY, STE 107, FOX RIVER GROVE, IL 600211925 (Tel: 8474625100)

👤

Provider Name / Credentials Updated July 14, 2007

Recorded as MELINDA EINFALT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration September 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821084393

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2005

Last Update: February 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.