Active NPI 1386070480 Individual Practitioner Male Practitioner

Theodore Craig Brock , APN-BC

Nurse Practitioner • Geneva, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Theodore Brock, APN-BC is a certified Nurse Practitioner practicing in Geneva, IL. With approximately 14 years of clinical experience since completing medical education in 2012, Theodore Brock delivers high-quality medical care to the local community at 304 RANDALL RD.

Theodore Brock is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

304 Randall Rd

Geneva, IL 60134

Telephone 6302320610

Fax 6302320675

Associated Practice Facility / Clinic

🏢 Lagrange Oncology Associates Facility NPI 1295814788

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Geneva, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +2.6 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

35 Specialists

Practicing in Geneva, IL (4929 Statewide)

Telehealth Adoption Rate

22.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brock (14 Years) 14 Yrs

Geneva Specialty Average (11.4 Years) 11.4 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	387	164	$323.00	$115.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	78	$434.00	$160.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$217.00	$70.19
99443 Telephone medical discussion with physician, 21-30 minutes	17	16	$250.00	$115.27

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	420	193	$204.44	$114.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	120	103	$273.53	$160.59
99443 Telephone medical discussion with physician, 21-30 minutes	24	22	$250.00	$113.80

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	529	224	$194.00	$115.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	185	159	$268.00	$162.29
99213 Established patient office or other outpatient visit, typically 15 minutes	77	49	$123.00	$83.02
99443 Telephone medical discussion with physician, 21-30 minutes	55	42	$250.00	$115.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$145.00	$63.51

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	305	163	$194.00	$117.76
99213 Established patient office or other outpatient visit, typically 15 minutes	212	113	$123.00	$83.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	163	133	$268.00	$162.83
99443 Telephone medical discussion with physician, 21-30 minutes	29	26	$250.00	$118.91
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$175.00	$84.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	312	179	$123.00	$68.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	137	$194.00	$99.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	150	135	$268.00	$133.36
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	22	22	$160.00	$157.76
99443 Telephone medical discussion with physician, 21-30 minutes	17	17	$250.00	$99.61
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$175.00	$68.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	468	282	$123.00	$66.83
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	236	64	$160.00	$156.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	118	108	$268.00	$130.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	78	$194.00	$98.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	426	239	$123.00	$64.76
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	359	70	$160.00	$156.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	73	$194.00	$96.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	96	$268.00	$128.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	277	130	$123.00	$65.02
G9678 Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a	209	46	$160.00	$156.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	135	122	$268.00	$128.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	61	$194.00	$94.86

Medical Specialties & State Licenses

CMS Verified: 2024-05-02

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209010570

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License IL 209010570

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicaid

041303225 (IL)

Commercial Insurance / Payer ID Medicare Railroad (Group)

CA4748 (IL)

Commercial Insurance / Payer ID Medicare Railroad (Individual)

P01349683 (IL)

Commercial Insurance / Payer ID Medicare Ptan (Group)

206147 (IL)

Commercial Insurance / Payer ID Medicare Ptan (Individual)

F400112507 (IL)

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

304 Randall Rd, Geneva, IL 601344200

Phone: 6303525450

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Aaron Miller , MD

Psychiatry & Neurology - Neurology

NPI 1104009307

Doctor of Medicine (M.D.)

Anna Osmun , PA-C

Physician Assistant

NPI 1154656858

Physician Assistant (Certified)

Dr. Christopher George , MD

Internal Medicine - Hematology & Oncology

NPI 1235143835

Doctor of Medicine (M.D.)

Dr. Megha Shah , DNP, FNP

Nurse Practitioner

NPI 1376364695

Doctor of Nursing Practice, Family Nurse Practitioner

Amanda Doyle

Clinical Nurse Specialist - Family Health

NPI 1396120754

Laura Hinerman

Nurse Practitioner - Adult Health

NPI 1508232224

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2024

Nurse Practitioner (License #209010570 in IL)

📍

Updated Business Mailing Address March 12, 2024

Registered at 304 RANDALL RD, GENEVA, IL 601344200 (Tel: 6302320610)

✅

NPI Profile Active October 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2014

Registered at 304 RANDALL RD, GENEVA, IL 60134 (Tel: 6302320610)

📍

Updated Business Mailing Address October 07, 2014

Registered at 304 RANDALL RD, GENEVA, IL 60134 (Tel: 6302320610)

👤

Provider Name / Credentials Updated October 07, 2014

Recorded as THEODORE BROCK, APN-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2014

Nurse Practitioner (License #209010570 in IL)

🟢

Initial NPI Registration & Enumeration September 20, 2013

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: 1386070480

Entity Type:

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

Enumeration Date: September 20, 2013

Last Update: May 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

304 Randall Rd

Geneva, IL 601344200

Phone: 6302320610

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.