Active NPI 1972604221 Individual Practitioner Female Practitioner

Dr. Denise M. Mammolito , MD

Surgery • Dunlap, IL

Professional Overview & Biography Verified Profile Summary

Dr. Denise Mammolito, MD is a registered healthcare professional specializing in Surgery in Dunlap, IL. Practice services are available at 12507 N HICKORY GROVE RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, lymph node imaging during surgery, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12507 N Hickory Grove Rd

Dunlap, IL 615259411

Telephone 3096961085

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dunlap, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Dunlap, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.6% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	56	$329.56	$87.68
38900 Lymph node imaging during surgery	16	16	$769.00	$139.68
19301 Partial removal of breast	15	15	$3200.53	$670.43
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$2534.50	$238.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$677.38	$215.09
19303 Total removal of breast	12	12	$5233.58	$995.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	62	$334.72	$89.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$817.83	$219.43
19301 Partial removal of breast	57	52	$3193.30	$679.97
38900 Lymph node imaging during surgery	37	37	$763.57	$142.39
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$2581.48	$225.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	19	$493.67	$125.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$632.00	$165.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$656.60	$178.03
19125 Removal of breast growth, open procedure	14	14	$2802.86	$372.04
19303 Total removal of breast	12	12	$4831.00	$986.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	71	71	$846.00	$218.68
99213 Established patient office or other outpatient visit, typically 15 minutes	61	60	$317.00	$89.36
19301 Partial removal of breast	56	53	$3110.57	$676.64
38900 Lymph node imaging during surgery	42	42	$821.79	$148.74
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	37	37	$2840.00	$241.40
19303 Total removal of breast	27	27	$5367.78	$1046.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$461.00	$128.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$646.00	$179.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$615.00	$166.75
19125 Removal of breast growth, open procedure	11	11	$2616.00	$431.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	63	$155.29	$71.97
38900 Lymph node imaging during surgery	52	52	$690.10	$149.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$539.82	$200.31
19301 Partial removal of breast	48	47	$2560.90	$693.71
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	42	42	$1775.57	$250.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$499.45	$144.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$287.36	$107.43
19303 Total removal of breast	21	21	$3323.86	$989.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$94.53	$39.65
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$42.00	$32.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$424.00	$153.61

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	93	90	$85.00	$42.89
99213 Established patient office or other outpatient visit, typically 15 minutes	86	83	$113.00	$71.84
19301 Partial removal of breast	52	50	$1790.79	$655.38
38900 Lymph node imaging during surgery	49	49	$651.02	$142.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$363.00	$201.97
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	36	36	$1474.86	$220.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$278.00	$160.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$171.00	$101.41
19303 Total removal of breast	19	19	$3007.42	$992.22
19125 Removal of breast growth, open procedure	16	15	$1437.00	$453.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$189.00	$105.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$243.00	$141.43
38500 Biopsy or removal of lymph nodes, open procedure	12	12	$1085.50	$135.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	99	$113.75	$67.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	57	$85.00	$40.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	57	57	$365.28	$193.05
19301 Partial removal of breast	51	44	$1791.45	$601.82
38900 Lymph node imaging during surgery	50	50	$650.76	$138.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$178.38	$101.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$1494.79	$242.41
19303 Total removal of breast	23	23	$2957.61	$978.50
38500 Biopsy or removal of lymph nodes, open procedure	23	23	$1002.00	$125.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$278.00	$155.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$189.00	$102.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$243.00	$136.73
19125 Removal of breast growth, open procedure	12	12	$1556.75	$394.73

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	88	85	$85.00	$41.78
99213 Established patient office or other outpatient visit, typically 15 minutes	68	63	$114.12	$70.36
38900 Lymph node imaging during surgery	48	48	$638.00	$142.12
19301 Partial removal of breast	47	44	$1757.00	$651.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$363.00	$201.13
38500 Biopsy or removal of lymph nodes, open procedure	33	33	$1032.36	$132.83
19303 Total removal of breast	26	26	$2825.65	$1026.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$278.00	$159.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$171.00	$103.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$195.11	$104.63
19125 Removal of breast growth, open procedure	17	17	$1437.00	$423.20
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1435.00	$222.06

Medical Specialties & State Licenses

CMS Verified: 2025-01-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036082251

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

036082251 (IL)

Commercial Insurance / Payer ID Bcbs Of Illinois

7215166 (IL)

Commercial Insurance / Payer ID Medicare Id, Type Unspec

K35445 (IL)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 16, 2025

Registered at 12507 N HICKORY GROVE RD, DUNLAP, IL 615259411 (Tel: 3096961085)

📍

Updated Business Mailing Address January 16, 2025

Registered at 12507 N HICKORY GROVE RD, DUNLAP, IL 615259411 (Tel: 3096961085)

✅

NPI Profile Active October 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 14, 2011

Registered at 1001 MAIN STREET, 3RD FLOOR, PEORIA, IL 616062037 (Tel: 3094950250)

📍

Updated Business Mailing Address October 14, 2011

Registered at 1001 MAIN STREET, 3RD FLOOR, PEORIA, IL 616062037 (Tel: 3094950250)

👤

Provider Name / Credentials Updated October 14, 2011

Recorded as DENISE MAMMOLITO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2011

Surgery (License #036082251 in IL)

🟢

Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Denise Mammolito. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972604221

Entity Type:

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

Enumeration Date: September 26, 2006

Last Update: January 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12507 N Hickory Grove Rd

Dunlap, IL 615259411

Phone: 3096961085

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.