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Active NPI 1770538225 Individual Practitioner Male Practitioner

Dr. Lyle D Pahnke , MD

Surgery - Vascular Surgery • Centralia, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lyle Pahnke, MD is a certified Surgery - Vascular Surgery practicing in Centralia, IL. With approximately 56 years of clinical experience since completing medical education in 1970, Dr. Pahnke delivers high-quality medical care to the local community at 400 N PLEASANT AVE.

Dr. Pahnke is affiliated with St Marys Hospital Centralia Illinois and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 N Pleasant Ave

Centralia, IL 628013056

Telephone 6184366318
Fax 6184366386
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1970

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Centralia, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
56 Yrs Matches City Avg
City Avg: 56.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Centralia, IL (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pahnke (56 Years) 56 Yrs
Centralia Specialty Average (56.0 Years) 56.0 Yrs

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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
173 66 $150.00 $34.23
11042 Removal of skin and tissue, 20.0 sq cm or less
169 53 $314.00 $58.76
99213 Established patient office or other outpatient visit, typically 15 minutes
157 56 $190.00 $63.39
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
30 13 $146.00 $24.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
25 25 $262.00 $79.83
17250 Application of chemical to stop tissue regrowth in wound
19 12 $204.00 $32.51

Medical Specialties & State Licenses

CMS Verified: 2022-04-15
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License IL 036089773

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License IL 036089773

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036089773

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036089773 (IL)
Commercial Insurance / Payer ID Rr Group Number
CG2264 (IL)
Commercial Insurance / Payer ID Group
207988 (IL)
Commercial Insurance / Payer ID Rr Medicare Number
P00169541 (IL)

Hospital & Practice Group Affiliations

St Marys Hospital Centralia Illinois

400 N Pleasant Ave, Centralia, IL 628013056

Phone: 6184368000

Secondary Practice Locations

302 Broadway St

Mount Vernon, IL 628645116

Phone: 6182424750

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Miguel Aguilera , MD

Emergency Medicine - Undersea and Hyperbaric Medicine

NPI 1366616864

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location April 15, 2022

Registered at 400 N PLEASANT AVE, CENTRALIA, IL 628013056 (Tel: 6184366318)

📍
Updated Business Mailing Address April 15, 2022

Registered at 400 N PLEASANT AVE, CENTRALIA, IL 628013056 (Tel: 6184366318)

NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2017

Registered at 302 BROADWAY ST, MOUNT VERNON, IL 628645116 (Tel: 6182424750)

📍
Updated Business Mailing Address November 29, 2017

Registered at 302 BROADWAY ST, MOUNT VERNON, IL 628645116 (Tel: 6182424750)

👤
Provider Name / Credentials Updated November 29, 2017

Recorded as LYLE PAHNKE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Family Medicine (License #036089773 in IL)

NPI Profile Active April 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2013

Registered at 205 HURON ST., IRVINGTON, IL 62848 (Tel: 6182496203)

📍
Updated Business Mailing Address April 25, 2013

Registered at PO BOX 190, IRVINGTON, IL 628480190 (Tel: 6182496203)

👤
Provider Name / Credentials Updated April 25, 2013

Recorded as LYLE PAHNKE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2013

Surgery (License #036089773 in IL)

🟢
Initial NPI Registration & Enumeration May 23, 2006

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: 1770538225
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: April 15, 2022
Sole Proprietor: No

Mailing Address

400 N Pleasant Ave

Centralia, IL 628013056

Phone: 6184366318

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.