Active NPI 1255446886 Individual Practitioner Male Practitioner

Phillip R Erthall , PA-C

Physician Assistant • Herrin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phillip Erthall, PA-C is a certified Physician Assistant practicing in Herrin, IL. With approximately 21 years of clinical experience since completing medical education in 2005, Phillip Erthall delivers high-quality medical care to the local community at 510 LINCOLN DRIVE.

Phillip Erthall is affiliated with Acute Care Surgery Of South Dakota Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of wrist, minimum of 3 views, new 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

510 Lincoln Drive
Southern Orthopedic Associates Sc

Herrin, IL 62948

Telephone 6189976800

Fax 6189989124

Associated Practice Facility / Clinic

🏢 Southern Orthopedic Associates, S.c. Facility NPI 1225021819

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Herrin, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +1.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

28 Specialists

Practicing in Herrin, IL (4958 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Erthall (21 Years) 21 Yrs

Herrin Specialty Average (19.8 Years) 19.8 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$151.53	$45.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	97	$301.93	$75.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	37	$159.14	$46.95
73110 X-ray of wrist, minimum of 3 views	44	32	$177.73	$9.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$375.00	$92.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$426.83	$107.10
73140 X-ray of finger, minimum of 2 views	17	14	$129.18	$6.18
73130 X-ray of hand, minimum of 3 views	17	16	$147.00	$8.99
29075 Application of elbow to finger cast	11	11	$285.73	$72.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	177	$140.00	$76.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg	88	11	$30.00	$0.15
73110 X-ray of wrist, minimum of 3 views	73	61	$172.33	$9.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	67	$200.00	$108.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$225.00	$94.35
73130 X-ray of hand, minimum of 3 views	43	40	$129.35	$10.78
73140 X-ray of finger, minimum of 2 views	38	33	$86.32	$9.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$325.00	$141.74
73610 X-ray of ankle, minimum of 3 views	29	19	$155.00	$9.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	22	$80.00	$46.81
73030 X-ray of shoulder, minimum of 2 views	25	22	$141.00	$8.72
73560 X-ray of knee, 1-2 views	23	19	$97.00	$10.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$220.00	$115.20
73502 X-ray of hip, 2-3 views	19	18	$142.00	$9.40
73562 X-ray of knee, 3 views	13	13	$149.08	$10.32
73630 X-ray of foot, minimum of 3 views	13	11	$153.00	$8.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	220	28	$30.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	185	156	$140.00	$61.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	113	$200.00	$90.12
73110 X-ray of wrist, minimum of 3 views	98	77	$175.20	$8.24
73140 X-ray of finger, minimum of 2 views	80	62	$84.05	$6.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$325.00	$133.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$225.00	$89.62
73130 X-ray of hand, minimum of 3 views	50	48	$117.42	$9.81
73030 X-ray of shoulder, minimum of 2 views	35	28	$145.03	$8.33
73610 X-ray of ankle, minimum of 3 views	33	24	$164.39	$7.97
73502 X-ray of hip, 2-3 views	30	27	$142.00	$9.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$80.00	$37.56
73562 X-ray of knee, 3 views	22	22	$124.36	$8.85
73630 X-ray of foot, minimum of 3 views	21	18	$167.57	$8.77
73560 X-ray of knee, 1-2 views	20	15	$97.00	$7.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$220.00	$117.91
20610 Aspiration and/or injection of fluid from large joint	16	15	$308.75	$57.55
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$1360.00	$171.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	261	207	$140.00	$59.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg	159	23	$30.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	134	$200.00	$86.16
73110 X-ray of wrist, minimum of 3 views	111	77	$174.59	$7.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$225.00	$85.55
73140 X-ray of finger, minimum of 2 views	69	54	$84.38	$6.82
73130 X-ray of hand, minimum of 3 views	58	52	$131.41	$9.50
73502 X-ray of hip, 2-3 views	46	28	$142.00	$9.19
73610 X-ray of ankle, minimum of 3 views	34	20	$173.24	$8.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$325.00	$131.70
20610 Aspiration and/or injection of fluid from large joint	31	18	$343.87	$56.71
73030 X-ray of shoulder, minimum of 2 views	31	26	$145.55	$8.00
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$183.00	$82.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$80.00	$35.62
27245 Treatment of broken neck of thigh bone with bone implant	16	15	$1360.00	$164.04
73070 X-ray of elbow, 2 views	13	13	$104.46	$7.12
73562 X-ray of knee, 3 views	11	11	$134.73	$9.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$133.72	$59.97
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$183.00	$85.76
73110 X-ray of wrist, minimum of 3 views	18	16	$179.44	$7.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$189.33	$88.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$217.31	$89.17
25447 Removal of bone joints between wrist and fingers	12	12	$557.00	$112.64
25310 Relocation of tendon of forearm and/or wrist	12	12	$332.00	$42.04
73140 X-ray of finger, minimum of 2 views	11	11	$82.00	$5.95

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	24	21	$66.04	$21.38
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$111.50	$42.69

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Acute Care Surgery Of South Dakota Pc

19 E Shawnee Dr, Murphysboro, IL 629667071

Phone: 6182277500

Acute Care Surgery Of South Dakota Pc

600 S 13th St, Pekin, IL 615544936

Phone: 3093471151

Practice Associates & Co-Workers

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

40 Associated Practitioners

John Nugent , PA-C

Physician Assistant

NPI 1033224654

Physician Assistant (Certified)

Dr. John Davis , MD

Orthopaedic Surgery

NPI 1063436756

Doctor of Medicine (M.D.)

Dr. James Davis , MD

Orthopaedic Surgery

NPI 1063516797

Doctor of Medicine (M.D.)

Jared Jones

Physical Therapist

NPI 1093486011

Dr. John Wood , MD

Orthopaedic Surgery

NPI 1154425882

Doctor of Medicine (M.D.)

Hollis Clark , PA-C

Physician Assistant

NPI 1154659894

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948 (Tel: 6189976800)

📍

Updated Business Mailing Address July 08, 2007

Registered at 510 LINCOLN DRIVE, SOUTHERN ORTHOPEDIC ASSOCIATES SC, HERRIN, IL 62948 (Tel: 6189976800)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP ERTHALL, PAC

🎓

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

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 21, 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: 1255446886

Entity Type:

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

Enumeration Date: August 21, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

510 Lincoln Drive, Southern Orthopedic Associates Sc

Herrin, IL 62948

Phone: 6189976800

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.