Active NPI 1922018332 Individual Practitioner Male Practitioner

Dr. James J Flaig , DO

Surgery • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Flaig, DO is a certified Surgery practicing in Effingham, IL. With approximately 25 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2001, Dr. Flaig delivers high-quality medical care to the local community at 1104 W EVERGREEN AVE.

Dr. Flaig is affiliated with Sarah Bush Lincoln Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of large bowel using an endoscope, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1104 W Evergreen Ave

Effingham, IL 624011710

Telephone 2173472500

Fax 2173429775

Associated Practice Facility / Clinic

🏢 The Fifer Center For Plastic Surgery Ltd Facility NPI 1083711287

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -4.8 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Effingham, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flaig (25 Years) 25 Yrs

Effingham Specialty Average (29.8 Years) 29.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	97	$281.64	$107.39
99213 Established patient office or other outpatient visit, typically 15 minutes	80	74	$191.70	$72.86
45380 Biopsy of large bowel using an endoscope	42	42	$1689.33	$181.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	36	36	$1345.00	$183.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$473.23	$140.13
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$982.18	$115.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$759.59	$130.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$269.44	$97.23

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	97	87	$270.74	$123.27
99213 Established patient office or other outpatient visit, typically 15 minutes	80	69	$172.05	$87.91
45380 Biopsy of large bowel using an endoscope	46	46	$1634.50	$173.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$432.16	$163.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$260.23	$109.76
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$1325.50	$182.37
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$1320.37	$182.39
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$944.25	$116.91
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1319.00	$182.80

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	106	95	$253.47	$124.29
99213 Established patient office or other outpatient visit, typically 15 minutes	98	85	$155.43	$87.61
45380 Biopsy of large bowel using an endoscope	76	76	$1568.55	$173.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$245.31	$110.31
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	31	31	$1278.48	$184.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$416.54	$164.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	19	$916.29	$105.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$438.29	$133.91
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1273.95	$173.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	11	$240.05	$70.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$2021.89	$254.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$961.29	$104.55

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	98	86	$242.29	$127.17
99213 Established patient office or other outpatient visit, typically 15 minutes	90	75	$149.13	$89.49
45380 Biopsy of large bowel using an endoscope	69	69	$1506.96	$179.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	24	$233.40	$70.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$236.23	$110.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$425.50	$134.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$400.57	$161.40
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	26	$876.50	$111.74
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$1214.64	$186.18
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$1223.36	$186.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$928.81	$104.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$632.00	$197.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1952.31	$254.68

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	113	89	$232.27	$107.50
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$142.62	$72.60
45380 Biopsy of large bowel using an endoscope	57	57	$1452.60	$187.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$382.41	$158.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$410.55	$139.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$836.52	$116.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$225.81	$73.15
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1170.22	$192.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$222.54	$106.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1869.92	$263.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1161.75	$192.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$900.00	$130.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$141.36	$72.68
45380 Biopsy of large bowel using an endoscope	71	70	$1542.97	$194.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	60	$223.77	$106.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$364.03	$162.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	24	$161.42	$72.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	41	$379.02	$137.48
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	29	$871.19	$123.45
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$1281.78	$190.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$237.88	$106.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$1153.36	$135.20
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$195.63	$102.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$2242.67	$266.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	84	$149.72	$65.72
45380 Biopsy of large bowel using an endoscope	70	69	$1861.00	$190.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	64	$340.43	$128.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	53	$221.56	$97.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$260.33	$99.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	31	$137.69	$69.31
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	34	$1060.00	$112.43
45378 Diagnostic exam of large bowel using a flexible endoscope	25	24	$1692.00	$173.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	16	$130.50	$36.88
91110 Imaging of digestive tract done from the inside of the digestive tract	18	18	$3621.00	$788.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$1590.00	$134.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$1692.00	$178.87
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$156.00	$97.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	113	$122.18	$65.42
45380 Biopsy of large bowel using an endoscope	80	79	$1861.00	$180.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	66	$176.00	$95.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$233.42	$97.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$357.00	$126.46
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	34	$1035.97	$117.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	23	$142.00	$36.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	20	$95.50	$38.92
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1692.00	$170.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$1179.00	$124.61
91110 Imaging of digestive tract done from the inside of the digestive tract	17	17	$3621.00	$751.51

Medical Specialties & State Licenses

CMS Verified: 2026-06-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036115742

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

036115742 (IL)

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

503 N Maple, Effingham, IL 624012006

Phone: 2173422121

Sarah Bush Lincoln Health Center

1104 W Evergreen Ave, Effingham, IL 624011710

Phone: 2172347000

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384644

Sarah Bush Lincoln Health Center

904 W Temple Ave, Effingham, IL 624012178

Phone: 2173421234

Sarah Bush Lincoln Health Center

101 Professional Plz, Mattoon, IL 619389252

Phone: 2172383730

Secondary Practice Locations

900 W Temple Ave, Suite 101

Effingham, IL 624012186

Phone: 2173472500

220 S Park Ave Fl 3

Herrin, IL 629483602

Phone: 6189422002

934 N Route 49 Ste A

Casey, IL 624201454

Phone: 2179324061

904 W Temple Ave

Effingham, IL 624012178

Phone: 2173421234

Practice Associates & Co-Workers

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

7 Associated Practitioners

Christina Probst , RN

Registered Nurse - Medical-Surgical

NPI 1114121878

Registered Nurse

Dr. Kevin Malone , MD

Surgery

NPI 1154331411

Doctor of Medicine (M.D.)

Kari Fulk , RN, BSN

Registered Nurse - Registered Nurse First Assistant

NPI 1275918393

Registered Nurse, Bachelor of Science in Nursing

Brandi Wood , LPN

Licensed Practical Nurse

NPI 1598998981

Licensed Practical Nurse

Kayla Mummel , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1649703141

Registered Nurse

Susan Logan , RN

Registered Nurse - Medical-Surgical

NPI 1720282486

Registered Nurse

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 01, 2019

Registered at 1104 W EVERGREEN AVE, EFFINGHAM, IL 624011710 (Tel: 2173472500)

📍

Updated Business Mailing Address April 01, 2019

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384693 (Tel: 2172386055)

✅

NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 22, 2018

Registered at 900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 624012186 (Tel: 2173472500)

📍

Updated Business Mailing Address January 22, 2018

Registered at 900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 624012186 (Tel: 2173472500)

👤

Provider Name / Credentials Updated January 22, 2018

Recorded as JAMES FLAIG, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Surgery (License #036115742 in IL)

✅

NPI Profile Active December 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 09, 2014

Registered at 900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 624012186 (Tel: 2173472500)

📍

Updated Business Mailing Address December 09, 2014

Registered at 900 W TEMPLE AVE, SUITE 101, EFFINGHAM, IL 624012186 (Tel: 2173472500)

👤

Provider Name / Credentials Updated December 09, 2014

Recorded as JAMES FLAIG, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2014

Surgery (License #036115742 in IL)

🟢

Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922018332

Entity Type:

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

Enumeration Date: August 08, 2006

Last Update: June 09, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1005 Health Center Dr Ste 201

Mattoon, IL 619384693

Phone: 2172386055

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.