Active NPI 1255696605 Individual Practitioner Male Practitioner

Dr. Aftab Hassan Jafri , MD

Surgery • Decatur, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Aftab Jafri, MD is a certified Surgery practicing in Decatur, IL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Jafri delivers high-quality medical care to the local community at 1730 E LAKE SHORE DR APT 1084.

Dr. Jafri is affiliated with Musc Community Physicians and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1730 E Lake Shore Dr Apt 1084

Decatur, IL 625213809

Telephone 2173291000

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

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

26 Yrs +3.9 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

81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jafri (26 Years) 26 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	145	51	$362.58	$116.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	75	$440.23	$128.04
99213 Established patient office or other outpatient visit, typically 15 minutes	57	41	$183.84	$88.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	30	$270.08	$125.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$1386.67	$71.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$382.59	$164.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$223.25	$106.80
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$1993.64	$172.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	74	$148.45	$86.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	25	$330.39	$112.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$207.49	$109.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	19	$166.48	$78.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$327.15	$126.01
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	30	30	$1644.67	$146.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$1200.50	$67.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1023.05	$250.82
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$277.11	$81.08
45380 Biopsy of large bowel using an endoscope	17	17	$1078.29	$73.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$87.21	$54.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	154	$135.00	$87.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	158	63	$198.00	$101.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$203.00	$108.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	47	$1174.00	$59.67
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	43	43	$1604.00	$126.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$264.00	$134.13
45380 Biopsy of large bowel using an endoscope	35	34	$923.00	$41.64
99221 Initial hospital inpatient care per day, typically 30 minutes	32	31	$195.00	$100.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	15	$138.00	$70.60
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$977.00	$241.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$201.00	$125.55
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1353.00	$151.41
45381 Injection beneath lining of large bowel using a flexible endoscope	13	13	$1571.00	$15.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$313.00	$165.85
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	11	11	$749.00	$128.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$387.00	$195.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	196	61	$198.00	$101.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	128	$201.00	$126.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$313.00	$165.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	80	79	$1174.00	$53.19
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$135.00	$89.26
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	65	64	$1604.00	$142.53
45380 Biopsy of large bowel using an endoscope	53	53	$923.00	$22.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	50	$264.00	$134.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$977.00	$247.15
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	34	34	$749.00	$111.60
45381 Injection beneath lining of large bowel using a flexible endoscope	28	28	$1571.00	$14.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	13	$138.00	$70.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	20	$387.00	$197.15
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$195.00	$100.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$203.00	$110.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	95	34	$198.00	$103.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	61	$201.00	$104.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	34	$138.00	$71.79
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$135.00	$73.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$313.00	$162.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	40	$264.00	$137.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$1174.00	$86.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$203.00	$105.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$271.00	$143.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	14	$387.00	$200.96
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$195.00	$98.41
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$1353.00	$160.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$977.00	$252.26
45380 Biopsy of large bowel using an endoscope	14	14	$923.00	$96.92
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2628.00	$752.01
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$137.00	$74.15

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	104	52	$138.00	$71.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$228.00	$108.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$205.18	$105.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$95.44	$45.10
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$195.00	$100.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$1174.00	$117.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$387.00	$199.72
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$140.57	$72.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$264.00	$135.45
49650 Repair of groin hernia using an endoscope	11	11	$961.86	$239.03

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	17	17	$105.00	$45.36

Medical Specialties & State Licenses

CMS Verified: 2021-12-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301097533

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

Commercial Insurance / Payer ID General Surgery

201572 (MI)

Hospital & Practice Group Affiliations

Musc Community Physicians

805 Pamplico Hwy, Florence, SC 295056047

Phone: 8436742500

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Micheal Young , MD

Surgery

NPI 1033214994

Doctor of Medicine (M.D.)

Dr. Jignesh Modi , MD

Internal Medicine - Infectious Disease

NPI 1184935074

Doctor of Medicine (M.D.)

Dr. Manoj Kohli , MD

Internal Medicine - Rheumatology

NPI 1215948146

Doctor of Medicine (M.D.)

Dr. Wael Otaibi , DO

Surgery

NPI 1255452124

Doctor of Osteopathic Medicine (D.O.)

Emily Artime , PA

Physician Assistant

NPI 1255560629

Physician Assistant

Dr. Douglas Maibenco , MD PHD

Surgery

NPI 1366424061

MDPHD

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 30, 2021

Registered at 1730 E LAKE SHORE DR APT 1084, DECATUR, IL 625213809 (Tel: 2173291000)

📍

Updated Business Mailing Address December 30, 2021

Registered at 1730 E LAKE SHORE DR APT 1084, DECATUR, IL 625213809 (Tel: 2173291000)

✅

NPI Profile Active July 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2012

Registered at 27690 STEPHENSON HWY, APT # 104, MADISON HEIGHTS, MI 480713151 (Tel: 2489337046)

📍

Updated Business Mailing Address July 11, 2012

Registered at 27690 STEPHENSON HIGHWAY, APT # 1084, MADISN HEIGHTS, MI 48071 (Tel: 2489337046)

👤

Provider Name / Credentials Updated July 11, 2012

Recorded as AFTAB JAFRI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2012

Surgery (License #4301097533 in MI)

🟢

Initial NPI Registration & Enumeration July 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255696605

Entity Type:

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

Enumeration Date: July 11, 2012

Last Update: December 30, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1730 E Lake Shore Dr Apt 1084

Decatur, IL 625213809

Phone: 2173291000

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.