Active NPI 1568618544 Individual Practitioner Male Practitioner

Dr. Timothy Mark Biagini , MD

Specialist • Macomb, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Biagini, MD is a certified Specialist practicing in Macomb, IL. With approximately 19 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2007, Dr. Biagini delivers high-quality medical care to the local community at 515 E GRANT ST STE 211.

Dr. Biagini is affiliated with Mcdonough County Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, insertion of guide wire with dilation of esophagus using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 E Grant St Ste 211

Macomb, IL 614553378

Telephone 3098363387

Associated Practice Facility / Clinic

🏢 Western Illinois Surgical Associates, S.c. Facility NPI 1841314382

Medicare Profile & Education

Medical School

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

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Macomb, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs Matches City Avg

City Avg: 19.0 Yrs

State Avg: 38.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Macomb, IL (1322 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Biagini (19 Years) 19 Yrs

Macomb Specialty Average (19.0 Years) 19.0 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	305	303	$2207.47	$249.84
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	221	218	$1710.15	$64.23
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	86	82	$1805.60	$124.27
45380 Biopsy of large bowel using an endoscope	83	83	$1935.94	$92.19
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	48	48	$1597.00	$172.24
45378 Diagnostic exam of large bowel using a flexible endoscope	24	22	$1613.00	$169.29
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$1365.00	$100.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$624.00	$129.59
43249 Balloon dilation of esophagus using an endoscope	16	12	$2441.94	$114.90
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1597.00	$167.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	325	323	$2190.68	$244.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	241	231	$1696.00	$63.38
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	84	73	$1786.00	$124.29
45380 Biopsy of large bowel using an endoscope	74	71	$1919.00	$100.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	52	52	$1597.00	$178.84
45378 Diagnostic exam of large bowel using a flexible endoscope	24	24	$1597.00	$173.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1597.00	$179.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$624.00	$127.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1365.00	$99.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	317	315	$2173.92	$253.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	222	209	$1658.27	$64.97
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	90	83	$1725.93	$125.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	76	$471.88	$122.58
45380 Biopsy of large bowel using an endoscope	76	76	$1855.72	$85.74
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	37	37	$1586.37	$183.59
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$1498.44	$179.30
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1597.00	$172.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$624.00	$133.09
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1334.09	$104.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	374	373	$2105.62	$253.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	240	228	$1331.01	$75.25
45380 Biopsy of large bowel using an endoscope	82	81	$1661.91	$79.01
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	71	65	$1272.00	$137.15
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$158.73	$88.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$371.15	$121.78
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$1616.64	$182.91
99442 Telephone medical discussion with physician, 11-20 minutes	36	28	$152.00	$89.68
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$1146.00	$107.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$367.62	$134.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$392.75	$163.48
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	16	16	$25.00	$14.32
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$1609.92	$172.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	280	277	$2083.34	$262.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	206	198	$1244.00	$76.50
45380 Biopsy of large bowel using an endoscope	96	94	$1619.00	$85.12
99213 Established patient office or other outpatient visit, typically 15 minutes	89	75	$152.00	$73.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$234.09	$106.99
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	58	48	$1102.00	$142.33
45378 Diagnostic exam of large bowel using a flexible endoscope	48	48	$1621.00	$187.13
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	45	36	$25.00	$14.60
99442 Telephone medical discussion with physician, 11-20 minutes	38	33	$154.16	$74.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$321.00	$139.29
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1073.00	$108.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$125.00	$39.67
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	11	11	$2111.00	$165.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	356	355	$2085.00	$263.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	274	260	$1239.46	$75.75
45380 Biopsy of large bowel using an endoscope	150	148	$1581.22	$85.45
99213 Established patient office or other outpatient visit, typically 15 minutes	111	93	$152.00	$72.11
45378 Diagnostic exam of large bowel using a flexible endoscope	72	72	$1621.00	$184.06
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	59	57	$1212.00	$201.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	45	$234.00	$105.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$318.18	$136.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	22	$125.00	$39.17
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$1073.00	$107.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$1617.20	$184.71
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	17	17	$1102.00	$160.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$361.00	$160.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	340	337	$2085.00	$265.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	272	254	$1223.42	$87.54
45380 Biopsy of large bowel using an endoscope	197	196	$1203.97	$89.57
99213 Established patient office or other outpatient visit, typically 15 minutes	130	100	$152.00	$70.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	56	$228.34	$104.50
45378 Diagnostic exam of large bowel using a flexible endoscope	58	57	$1621.00	$188.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	23	$125.00	$38.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$321.00	$135.54
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	36	35	$1161.78	$206.72
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	30	26	$1076.27	$156.95
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$1073.00	$109.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$348.93	$160.94
45381 Injection beneath lining of large bowel using a flexible endoscope	13	11	$1192.62	$16.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	288	286	$1157.76	$93.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	268	252	$1176.69	$82.77
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	267	264	$2085.00	$264.64
99213 Established patient office or other outpatient visit, typically 15 minutes	108	91	$152.00	$70.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	62	$224.12	$103.61
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	52	24	$1280.57	$163.47
45378 Diagnostic exam of large bowel using a flexible endoscope	42	41	$1545.00	$184.14
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	40	40	$935.15	$220.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	35	$231.00	$135.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$341.00	$159.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	22	$132.35	$71.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$108.77	$38.81
45381 Injection beneath lining of large bowel using a flexible endoscope	17	16	$1055.29	$26.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$239.00	$104.63

Medical Specialties & State Licenses

CMS Verified: 2025-06-03

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 036131897

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 72215

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Mcdonough County Hospital District

503 E Grant St, Macomb, IL 614553313

Phone: 3098335917

Mcdonough County Hospital District

525 E Grant St, Macomb, IL 614553313

Mcdonough County Hospital District

515 E Grant St, Macomb, IL 614553315

Mcdonough County Hospital District

515 E Grant St, Macomb, IL 614553378

Mcdonough County Hospital District

1454 N County Rd 2050, Carthage, IL 623213551

Phone: 2173578500

Practice Associates & Co-Workers

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

2 Associated Practitioners

Melissa Pounders , NP-C

Nurse Practitioner - Family

NPI 1295031128

Nurse Practitioner (Certified)

Dr. David Greathouse , DO

Internal Medicine

NPI 1720071129

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 03, 2025

Registered at 515 E GRANT ST STE 211, MACOMB, IL 614553378 (Tel: 3098363387)

📍

Updated Business Mailing Address September 22, 2021

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 3098363387)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2021

Internal Medicine (License #72215 in IL)

✅

NPI Profile Active January 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2015

Registered at 5 DOCTORS LN, MACOMB, IL 614553369 (Tel: 3098363387)

📍

Updated Business Mailing Address January 27, 2015

Registered at 5 DOCTORS LN, MACOMB, IL 614553369 (Tel: 3098363387)

👤

Provider Name / Credentials Updated January 27, 2015

Recorded as TIMOTHY BIAGINI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2015

Specialist (License #036131897 in IL)

🟢

Initial NPI Registration & Enumeration August 11, 2008

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: 1568618544

Entity Type:

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

Enumeration Date: August 11, 2008

Last Update: June 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 3098363387

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.