Active NPI 1225094436 Individual Practitioner Male Practitioner

Dr. Albert F Gilman , MD

Surgery • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Albert Gilman, MD is a certified Surgery practicing in Decatur, IL. With approximately 33 years of clinical experience since graduating from Wake Forest University School Of Medicine in 1993, Dr. Gilman delivers high-quality medical care to the local community at 1 MEMORIAL DR STE 300.

Dr. Gilman maintains professional affiliations with Pana Community Hospital Association, Decatur Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Memorial Dr Ste 300

Decatur, IL 625266322

Telephone 2178765500

Fax 2178765505

Associated Practice Facility / Clinic

🏢 Decatur Memorial Hospital Facility NPI 1609879097

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Decatur, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

18 Specialists

Practicing in Decatur, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilman (33 Years) 33 Yrs

Decatur Specialty Average (22.1 Years) 22.1 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	38	$156.38	$48.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$368.67	$128.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$544.63	$126.84
99221 Initial hospital inpatient care per day, typically 30 minutes	37	37	$405.24	$80.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$255.37	$79.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$98.50	$34.26
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$168.09	$63.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$248.00	$94.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$672.26	$109.10
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$3464.29	$723.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$899.06	$178.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$285.20	$76.10
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$904.80	$172.56
45380 Biopsy of large bowel using an endoscope	13	13	$973.46	$166.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	35	$151.15	$49.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$355.62	$132.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$249.21	$80.96
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$163.18	$65.45
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$873.52	$183.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$239.31	$96.56
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$391.60	$83.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	18	$276.86	$78.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$527.56	$129.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$95.96	$35.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$648.86	$111.56
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$580.18	$91.56
45380 Biopsy of large bowel using an endoscope	18	18	$944.11	$157.74
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1200.35	$250.98
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$965.00	$167.22
49505 Repair of groin hernia (5 years or older)	15	15	$2439.00	$605.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	72	$158.43	$65.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	42	$269.73	$69.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$241.40	$82.94
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$1547.98	$181.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$632.00	$111.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$346.16	$133.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$147.29	$37.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	20	$386.44	$100.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	18	$92.58	$35.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$502.62	$131.70
45380 Biopsy of large bowel using an endoscope	25	25	$922.64	$190.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$231.95	$96.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$756.06	$192.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1171.50	$240.99
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$383.71	$98.35
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$170.15	$48.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$845.08	$182.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	20	$262.88	$71.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$337.00	$137.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$225.47	$96.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$238.06	$84.43
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$154.50	$67.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$380.08	$103.01

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	75	29	$87.00	$26.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	30	$254.87	$73.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$227.44	$76.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	23	$365.42	$105.40
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$148.00	$51.80
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1458.91	$192.39
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$160.36	$51.20

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	380	104	$85.80	$25.55
99183 Management and supervision of oxygen chamber therapy per session	154	15	$454.07	$111.62
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	97	12	$109.64	$27.34
11042 Removal of skin and tissue, 20.0 sq cm or less	88	52	$362.64	$61.87
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$145.54	$51.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$223.62	$76.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	18	$251.34	$72.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$487.84	$137.05
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$158.00	$50.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$360.38	$103.89

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	382	113	$96.84	$25.22
11042 Removal of skin and tissue, 20.0 sq cm or less	101	32	$250.16	$62.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$291.89	$75.77
99213 Established patient office or other outpatient visit, typically 15 minutes	61	53	$188.35	$50.30
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$193.41	$50.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$307.54	$77.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	11	$418.12	$103.21
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$775.40	$190.04
97597 Removal of tissue from wound, 20.0 sq cm or less	15	11	$93.80	$23.80
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1409.00	$183.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$549.56	$135.62
45380 Biopsy of large bowel using an endoscope	11	11	$839.92	$190.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	630	11	$131.31	$26.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	258	87	$79.55	$25.10
11042 Removal of skin and tissue, 20.0 sq cm or less	127	30	$371.07	$61.11
99213 Established patient office or other outpatient visit, typically 15 minutes	98	62	$112.42	$50.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$169.45	$76.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	29	$177.06	$71.07
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$121.26	$49.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$344.04	$135.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	13	$115.00	$38.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$169.34	$77.40
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1409.00	$184.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1363.74	$189.97
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$279.53	$100.59

Medical Specialties & State Licenses

CMS Verified: 2021-10-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036098200

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.

Hospital & Practice Group Affiliations

Pana Community Hospital Association

101 E 9th St, Pana, IL 625571716

Phone: 2175626246

Pana Community Hospital Association

217 S Locust St, Pana, IL 625571605

Phone: 2175622143

Decatur Memorial Hospital

1 Memorial Dr, Decatur, IL 625266322

Phone: 2178765500

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Ranjodh Singh , MD

Surgery

NPI 1013161538

Doctor of Medicine (M.D.)

Dr. Timothy Bailey , MD

Surgery

NPI 1053378976

Doctor of Medicine (M.D.)

Dr. George Liu , MD

Surgery

NPI 1528164951

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location October 20, 2021

Registered at 1 MEMORIAL DR STE 300, DECATUR, IL 625266322 (Tel: 2178765500)

✅

NPI Profile Active September 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2014

Registered at 302 W HAY ST, STE 140, DECATUR, IL 625264167 (Tel: 2178775421)

📍

Updated Business Mailing Address September 15, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178762857)

👤

Provider Name / Credentials Updated September 15, 2014

Recorded as ALBERT GILMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2014

Surgery (License #036098200 in IL)

🟢

Initial NPI Registration & Enumeration April 25, 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: 1225094436

Entity Type:

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

Enumeration Date: April 25, 2006

Last Update: October 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178762857

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

⚠️ Medical Disclaimer

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