Active NPI 1679524805 Individual Practitioner Male Practitioner

Dr. Thomas A Ambrose , MD

Orthopaedic Surgery • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Ambrose, MD is a certified Orthopaedic Surgery practicing in Effingham, IL. With approximately 43 years of clinical experience since graduating from Ohio State University College Of Medicine in 1983, Dr. Ambrose delivers high-quality medical care to the local community at 900 W TEMPLE AVE STE 2500.

Dr. Ambrose maintains professional affiliations with Hshs Medical Group Inc, Sanford Health Network and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of knee, 1-2 views, x-ray of knee, 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

900 W Temple Ave Ste 2500

Effingham, IL 624012121

Telephone 2175402350

Fax 2173472323

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1983

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

43 Yrs +10.3 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

5.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ambrose (43 Years) 43 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73560 X-ray of knee, 1-2 views	106	78	$8.08	$7.80
73564 X-ray of knee, 4 or more views	99	71	$10.97	$10.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	64	$125.42	$94.93
73502 X-ray of hip, 2-3 views	70	59	$10.63	$10.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$162.45	$127.34
27447 Replacement of knee joint, both sides of knee	41	37	$1214.87	$1195.51
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$95.21	$64.07
20610 Aspiration and/or injection of fluid from large joint	33	28	$76.78	$46.15
72170 X-ray of pelvis, 1-2 views	22	17	$9.11	$7.91
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$1216.01	$1196.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73560 X-ray of knee, 1-2 views	148	117	$8.20	$8.01
73502 X-ray of hip, 2-3 views	133	99	$11.80	$10.67
73564 X-ray of knee, 4 or more views	131	90	$12.35	$11.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	95	$128.30	$95.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$167.59	$131.91
99213 Established patient office or other outpatient visit, typically 15 minutes	62	60	$89.79	$65.41
27447 Replacement of knee joint, both sides of knee	55	54	$1280.11	$1213.27
20610 Aspiration and/or injection of fluid from large joint	43	34	$74.26	$49.74
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$1355.02	$1179.69
72170 X-ray of pelvis, 1-2 views	22	22	$8.43	$8.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$110.01	$84.57
73522 X-ray of both hips, 3-4 views	14	14	$14.31	$14.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73560 X-ray of knee, 1-2 views	164	119	$8.08	$8.08
73564 X-ray of knee, 4 or more views	155	115	$10.89	$10.89
73502 X-ray of hip, 2-3 views	145	109	$11.82	$10.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	114	114	$164.44	$133.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	100	$128.90	$98.42
99213 Established patient office or other outpatient visit, typically 15 minutes	84	80	$92.13	$65.17
27447 Replacement of knee joint, both sides of knee	57	52	$1219.45	$1219.45
20610 Aspiration and/or injection of fluid from large joint	49	38	$74.15	$53.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$117.37	$82.26
27130 Replacement of thigh bone and hip joint with prosthesis	31	28	$1233.59	$1233.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$178.37	$145.12
73562 X-ray of knee, 3 views	17	13	$9.08	$9.08
72170 X-ray of pelvis, 1-2 views	16	16	$8.50	$8.50
73522 X-ray of both hips, 3-4 views	15	15	$14.23	$14.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73560 X-ray of knee, 1-2 views	135	95	$8.42	$8.50
73502 X-ray of hip, 2-3 views	135	102	$11.41	$11.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$108.81	$74.64
73564 X-ray of knee, 4 or more views	118	91	$11.28	$11.38
99213 Established patient office or other outpatient visit, typically 15 minutes	115	99	$77.15	$50.76
20610 Aspiration and/or injection of fluid from large joint	111	70	$69.76	$50.69
27447 Replacement of knee joint, both sides of knee	68	63	$1368.71	$1324.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	46	$45.00	$25.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	43	$114.81	$78.73
27130 Replacement of thigh bone and hip joint with prosthesis	29	28	$1318.09	$1329.25
73562 X-ray of knee, 3 views	22	18	$9.50	$9.60
72170 X-ray of pelvis, 1-2 views	19	19	$8.79	$8.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$134.94	$135.36
73522 X-ray of both hips, 3-4 views	11	11	$14.91	$15.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	99	$74.74	$50.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$106.84	$74.31
73564 X-ray of knee, 4 or more views	94	76	$11.31	$11.30
73502 X-ray of hip, 2-3 views	89	70	$11.31	$11.30
20610 Aspiration and/or injection of fluid from large joint	83	54	$68.23	$48.56
73560 X-ray of knee, 1-2 views	71	66	$8.43	$8.41
27447 Replacement of knee joint, both sides of knee	63	58	$1366.83	$1301.92
73560 X-ray of knee, 1-2 views	60	49	$8.43	$8.41
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$75.51	$50.29
20610 Aspiration and/or injection of fluid from large joint	53	28	$76.30	$49.95
73502 X-ray of hip, 2-3 views	49	43	$11.31	$11.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	45	$44.89	$25.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$110.39	$74.33
73564 X-ray of knee, 4 or more views	41	37	$11.31	$11.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$117.17	$74.19
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$1320.03	$1318.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$44.89	$25.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$115.97	$75.98
27486 Revision of component of total knee joint prosthesis	11	11	$1370.96	$1368.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$134.49	$134.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	94	61	$65.43	$48.34
73564 X-ray of knee, 4 or more views	90	74	$11.21	$10.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	84	$108.33	$75.12
99213 Established patient office or other outpatient visit, typically 15 minutes	78	63	$73.62	$49.65
73502 X-ray of hip, 2-3 views	74	50	$11.21	$11.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$105.73	$73.73
73560 X-ray of knee, 1-2 views	68	60	$8.38	$8.26
27447 Replacement of knee joint, both sides of knee	53	51	$1372.06	$1279.53
73564 X-ray of knee, 4 or more views	39	34	$13.41	$13.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	37	$43.57	$24.67
20610 Aspiration and/or injection of fluid from large joint	33	19	$63.54	$47.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$106.20	$73.87
73560 X-ray of knee, 1-2 views	31	25	$8.40	$8.27
73502 X-ray of hip, 2-3 views	30	25	$11.20	$11.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$111.84	$76.59
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$72.41	$49.91
27130 Replacement of thigh bone and hip joint with prosthesis	20	19	$1320.31	$1299.18

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	133	132	$107.71	$76.05
73564 X-ray of knee, 4 or more views	132	107	$11.27	$11.10
73502 X-ray of hip, 2-3 views	104	72	$11.27	$11.10
20610 Aspiration and/or injection of fluid from large joint	90	55	$66.60	$47.43
73560 X-ray of knee, 1-2 views	67	50	$8.40	$8.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$111.10	$72.20
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$72.41	$49.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$43.27	$24.58
27447 Replacement of knee joint, both sides of knee	28	26	$1422.65	$1280.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$134.33	$132.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$140.36	$107.83
72170 X-ray of pelvis, 1-2 views	12	12	$8.76	$8.62

Medical Specialties & State Licenses

CMS Verified: 2025-01-15

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License SD 10090

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IN 01037487A

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IA 41335

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IL 036172356

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100357760 (IN)

Commercial Insurance / Payer ID Anthem Pin

000000247026 (IN)

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

900 W Temple Ave, Effingham, IL 624012121

Phone: 2175402350

Sanford Health Network

2905 3rd Ave Se, Aberdeen, SD 574015420

Phone: 6056264200

Sanford Health Network

701 3rd Ave S, Clear Lake, SD 572262016

Phone: 6058742141

Secondary Practice Locations

911 E. 20th St., Ste. 300

Sioux Falls, SD 571051045

Phone: 6053221300

Practice Associates & Co-Workers

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

10 Associated Practitioners

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Urology

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Doctor of Medicine (M.D.)

Emily Konrad , APRN

Nurse Practitioner

NPI 1043010648

Advanced Practice Registered Nurse

Dr. Nitin Kumar , MD

Internal Medicine - Gastroenterology

NPI 1104002245

Doctor of Medicine (M.D.)

Dr. Dean Page , MD

Plastic Surgery

NPI 1164491296

Doctor of Medicine (M.D.)

Dr. Fred Richardson , MD

Family Medicine

NPI 1194702092

Doctor of Medicine (M.D.)

Dr. Howard Chodash , MD

Internal Medicine - Gastroenterology

NPI 1295720027

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location January 15, 2025

Registered at 900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 624012121 (Tel: 2175402350)

📍

Updated Business Mailing Address January 15, 2025

Registered at 900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 624012121 (Tel: 2175402350)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2025

Orthopaedic Surgery (License #01037487A in IN)

✅

NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2017

Registered at 911 E. 20TH ST., STE. 300, SIOUX FALLS, SD 571051045 (Tel: 6053221300)

📍

Updated Business Mailing Address April 17, 2017

Registered at 911 E. 20TH ST., STE. 300, SIOUX FALLS, SD 571051045 (Tel: 6053221300)

👤

Provider Name / Credentials Updated April 17, 2017

Recorded as THOMAS AMBROSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Orthopaedic Surgery (License #01037487A in IN)

✅

NPI Profile Active May 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2016

Registered at 450 LAUREL ST, STE A, DES MOINES, IA 503143045 (Tel: 5152478400)

📍

Updated Business Mailing Address May 13, 2016

Registered at 450 LAUREL ST, STE A, DES MOINES, IA 503143045 (Tel: 5152478400)

👤

Provider Name / Credentials Updated May 13, 2016

Recorded as THOMAS AMBROSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2016

Orthopaedic Surgery (License #41335 in IA)

🟢

Initial NPI Registration & Enumeration May 12, 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: 1679524805

Entity Type:

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

Enumeration Date: May 12, 2006

Last Update: January 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

900 W Temple Ave Ste 2500

Effingham, IL 624012121

Phone: 2175402350

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.