Active NPI 1215984752 Individual Practitioner Male Practitioner

Dr. Timothy J Gray , MD

Orthopaedic Surgery • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Gray, MD is a certified Orthopaedic Surgery practicing in Effingham, IL. With approximately 38 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1988, Dr. Gray delivers high-quality medical care to the local community at 1303 W EVERGREEN AVE STE 200.

Dr. Gray maintains professional affiliations with Sarah Bush Lincoln Health Center, Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1303 W Evergreen Ave Ste 200

Effingham, IL 624011638

Telephone 2173423400

Fax 2173423477

Associated Practice Facility / Clinic

🏢 Bonutti Orthopedic Services Ltd Facility NPI 1285687996

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +5.3 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

9 Specialists

Practicing in Effingham, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gray (38 Years) 38 Yrs

Effingham Specialty Average (32.7 Years) 32.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	121	91	$191.24	$72.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	87	$278.88	$111.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$452.89	$147.16
20610 Aspiration and/or injection of fluid from large joint	42	30	$308.48	$63.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$267.22	$91.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$110.00	$41.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$764.00	$129.97
29881 Removal of knee cartilage using an endoscope	19	19	$2792.16	$524.81
27447 Replacement of knee joint, both sides of knee	15	14	$6842.27	$1274.45
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$5338.67	$1212.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	127	$167.08	$86.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	117	$262.03	$123.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$416.62	$163.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$241.71	$109.77
20610 Aspiration and/or injection of fluid from large joint	36	30	$281.86	$68.77
29881 Removal of knee cartilage using an endoscope	36	35	$2684.08	$542.40
J1040 Injection, methylprednisolone acetate, 80 mg	35	26	$207.34	$11.51
27447 Replacement of knee joint, both sides of knee	23	20	$6611.13	$1292.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$546.50	$129.43
29880 Removal of both knee cartilages using an endoscope	13	13	$2911.62	$564.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$90.38	$54.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	123	$151.73	$88.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	112	$244.26	$123.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$401.68	$164.63
29881 Removal of knee cartilage using an endoscope	34	34	$2600.74	$516.66
20610 Aspiration and/or injection of fluid from large joint	27	22	$239.48	$67.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$219.78	$110.13
J1040 Injection, methylprednisolone acetate, 80 mg	23	21	$197.35	$10.67
27447 Replacement of knee joint, both sides of knee	20	19	$6358.40	$1232.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$440.75	$133.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$84.20	$55.04

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	151	128	$238.64	$127.08
99213 Established patient office or other outpatient visit, typically 15 minutes	142	110	$145.18	$89.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$380.81	$166.20
J1040 Injection, methylprednisolone acetate, 80 mg	39	24	$196.51	$10.70
20610 Aspiration and/or injection of fluid from large joint	35	25	$231.94	$70.43
29881 Removal of knee cartilage using an endoscope	32	32	$2497.88	$537.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$224.93	$111.07
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$320.82	$101.12
27447 Replacement of knee joint, both sides of knee	20	20	$6173.65	$1314.86
27245 Treatment of broken neck of thigh bone with bone implant	15	15	$4974.00	$1253.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$79.36	$55.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	148	$147.24	$73.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$240.94	$106.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	61	$91.58	$44.62
20610 Aspiration and/or injection of fluid from large joint	56	42	$251.54	$62.08
J1040 Injection, methylprednisolone acetate, 80 mg	54	42	$178.91	$11.59
29881 Removal of knee cartilage using an endoscope	29	29	$3483.79	$554.75
27447 Replacement of knee joint, both sides of knee	22	20	$6558.77	$1414.25
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$320.07	$103.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$235.92	$108.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	365	233	$161.49	$72.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$288.79	$106.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	75	$122.00	$43.38
J1040 Injection, methylprednisolone acetate, 80 mg	80	51	$168.04	$12.14
20610 Aspiration and/or injection of fluid from large joint	78	48	$277.18	$56.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	51	$235.00	$106.64
27447 Replacement of knee joint, both sides of knee	42	38	$10345.40	$1394.36
29881 Removal of knee cartilage using an endoscope	37	37	$5235.00	$538.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$439.00	$137.49
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$326.00	$102.18
27245 Treatment of broken neck of thigh bone with bone implant	19	19	$10203.00	$1264.50
29880 Removal of both knee cartilages using an endoscope	13	13	$5659.00	$570.86
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$8082.16	$1236.97
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$15799.00	$1395.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	540	299	$71.76	$69.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$107.13	$104.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	97	$43.18	$41.90
20610 Aspiration and/or injection of fluid from large joint	111	75	$63.91	$55.34
J1040 Injection, methylprednisolone acetate, 80 mg	107	78	$14.79	$12.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$136.14	$134.01
73562 X-ray of knee, 3 views	37	30	$33.52	$31.61
29881 Removal of knee cartilage using an endoscope	36	34	$806.82	$525.95
27447 Replacement of knee joint, both sides of knee	26	25	$1383.45	$1361.32
73502 X-ray of hip, 2-3 views	25	21	$27.78	$26.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$105.02	$103.41
29880 Removal of both knee cartilages using an endoscope	18	18	$1008.14	$575.05
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$1217.22	$1197.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	522	303	$72.42	$70.27
73562 X-ray of knee, 3 views	265	166	$35.44	$32.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$107.27	$104.25
73502 X-ray of hip, 2-3 views	118	82	$28.80	$28.38
20610 Aspiration and/or injection of fluid from large joint	89	55	$60.22	$56.44
J1040 Injection, methylprednisolone acetate, 80 mg	84	57	$10.27	$10.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	73	$42.28	$41.62
29881 Removal of knee cartilage using an endoscope	45	44	$658.77	$538.29
27447 Replacement of knee joint, both sides of knee	42	39	$1419.59	$1386.09
73610 X-ray of ankle, minimum of 3 views	40	22	$28.19	$27.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$137.54	$135.38
73030 X-ray of shoulder, minimum of 2 views	33	22	$23.91	$23.52
73100 X-ray of wrist, 2 views	26	12	$21.02	$20.69
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$79.90	$69.98
73630 X-ray of foot, minimum of 3 views	18	13	$27.65	$27.23
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$103.89	$100.80
72110 X-ray of lower and sacral spine, minimum of 4 views	15	15	$46.57	$45.87
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	13	$1224.97	$1205.37
29880 Removal of both knee cartilages using an endoscope	13	13	$572.55	$560.81
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$1268.44	$1230.98

Medical Specialties & State Licenses

CMS Verified: 2022-01-26

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036082647

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036082647 (IL)

Commercial Insurance / Payer ID Healthlink

227129 (IL)

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

1303 W Evergreen Ave, Effingham, IL 624011638

Phone: 2173423400

Select Physical Therapy Holdings Inc

1104 W Main St, Benton, IL 628121565

Phone: 6184393399

Secondary Practice Locations

1215 W Main St

Shelbyville, IL 625651252

Phone: 2177744305

Practice Associates & Co-Workers

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

25 Associated Practitioners

Zenda Lewis , OTR, L, CHT, CWCE, CLT

Occupational Therapist - Hand

NPI 1053378570

Occupational Therapist Registered, L, Certified Hand Therapist, CWCE, Certified Lymphedema Therapist

Jennifer Nave , LPTA

Physical Therapy Assistant

NPI 1063479574

Licensed Physical Therapist Assistant

Dr. Frank Lee , MD

Orthopaedic Surgery

NPI 1083661995

Doctor of Medicine (M.D.)

Chad Hopkins , MS, ATC

Specialist/Technologist - Athletic Trainer

NPI 1093772105

Master of Science, Certified Athletic Trainer

Andrew Vannatta , CO

Orthotist

NPI 1134493042

Certified Orthotist

Lindell Richards , PT

Physical Therapist

NPI 1144278144

Physical Therapist

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location January 26, 2022

Registered at 1303 W EVERGREEN AVE STE 200, EFFINGHAM, IL 624011638 (Tel: 2173423400)

📍

Updated Business Mailing Address March 16, 2020

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384653 (Tel: 2172386055)

📍

Updated Practice Location November 28, 2018

Registered at 1303 W EVERGREEN AVE, EFFINGHAM, IL 624011619 (Tel: 2173423400)

📍

Updated Business Mailing Address November 28, 2018

Registered at 1303 W EVERGREEN AVE, EFFINGHAM, IL 624011619 (Tel: 2173423400)

📍

Updated Practice Location May 21, 2018

Registered at 1303 W EVERGREEN AVE, SUITE 101, EFFINGHAM, IL 62401 (Tel: 2173423400)

✅

NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 11, 2017

Registered at 1303 W EVERGREEN AVE, SUITE 101, EFFINGHAM, IL 624011619 (Tel: 2173423400)

📍

Updated Business Mailing Address May 11, 2017

Registered at 1303 W EVERGREEN AVE, SUITE 101, EFFINGHAM, IL 624011619 (Tel: 2173423400)

👤

Provider Name / Credentials Updated May 11, 2017

Recorded as TIMOTHY GRAY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Orthopaedic Surgery (License #036082647 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1303 W EVERGREEN AVE, EFFINGHAM, IL 624011619 (Tel: 2173423400)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1387, 1303 W. EVERGREEN AVE., EFFINGHAM, IL 624011387 (Tel: 2173423400)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY GRAY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery

🟢

Initial NPI Registration & Enumeration May 30, 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: 1215984752

Entity Type:

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

Enumeration Date: May 30, 2006

Last Update: January 26, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1005 Health Center Dr Ste 201

Mattoon, IL 619384653

Phone: 2178682812

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.