Active NPI 1588663272 Individual Practitioner Male Practitioner

Dr. James Kohlmann , MD

Orthopaedic Surgery • Mattoon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Kohlmann, MD is a certified Orthopaedic Surgery practicing in Mattoon, IL. With approximately 39 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1987, Dr. Kohlmann delivers high-quality medical care to the local community at 1004 HEALTH CENTER DR # 100.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, 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

1004 Health Center Dr # 100

Mattoon, IL 619389253

Telephone 2172383435

Fax 2172383492

Medicare Profile & Education

Medical School

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

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Mattoon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +15.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Mattoon, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kohlmann (39 Years) 39 Yrs

Mattoon Specialty Average (23.2 Years) 23.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$154.33	$65.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	84	$148.29	$67.13
20610 Aspiration and/or injection of fluid from large joint	56	39	$269.64	$50.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$236.15	$82.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$237.84	$99.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$363.15	$135.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	88	$142.38	$51.99
99213 Established patient office or other outpatient visit, typically 15 minutes	86	62	$139.00	$73.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	46	$228.43	$79.86
20610 Aspiration and/or injection of fluid from large joint	53	48	$245.21	$50.21
J1040 Injection, methylprednisolone acetate, 80 mg	52	35	$173.23	$11.64
20610 Aspiration and/or injection of fluid from large joint	50	37	$252.34	$66.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$224.18	$75.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$224.44	$105.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$225.16	$72.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$226.00	$106.47
27447 Replacement of knee joint, both sides of knee	14	12	$5832.50	$1401.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	285	174	$135.49	$71.63
J1040 Injection, methylprednisolone acetate, 80 mg	160	101	$170.35	$11.99
20610 Aspiration and/or injection of fluid from large joint	147	100	$243.07	$63.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	100	$221.11	$105.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$214.98	$105.90
27447 Replacement of knee joint, both sides of knee	20	19	$5620.80	$1328.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$73.12	$43.59
27130 Replacement of thigh bone and hip joint with prosthesis	16	16	$5365.63	$950.27
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$282.63	$101.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$218.21	$72.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$357.54	$152.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	138	$131.60	$70.38
J1040 Injection, methylprednisolone acetate, 80 mg	142	95	$148.50	$12.97
20610 Aspiration and/or injection of fluid from large joint	128	88	$231.92	$62.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	85	$212.88	$104.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$209.00	$105.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	48	$71.00	$42.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$352.00	$160.64
27130 Replacement of thigh bone and hip joint with prosthesis	29	29	$5198.14	$990.54
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$4525.60	$644.20
63048 Partial removal of spine bone with release of spinal cord and/or nerves	18	15	$870.00	$170.04
27447 Replacement of knee joint, both sides of knee	17	17	$5617.47	$1109.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$307.00	$141.07
22612 Fusion of spine in lower back	13	13	$6412.00	$1000.25
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$266.00	$100.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$360.00	$135.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	151	$127.55	$70.25
20610 Aspiration and/or injection of fluid from large joint	149	101	$223.44	$61.27
J1040 Injection, methylprednisolone acetate, 80 mg	146	97	$30.73	$10.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	93	$209.19	$102.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$202.82	$104.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	48	$69.21	$41.21
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$131.53	$71.86
27130 Replacement of thigh bone and hip joint with prosthesis	31	31	$5082.19	$1007.92
73030 X-ray of shoulder, minimum of 2 views	25	16	$42.56	$10.13
27447 Replacement of knee joint, both sides of knee	18	17	$5428.06	$1384.88
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$4306.18	$402.94
73502 X-ray of hip, 2-3 views	13	11	$46.00	$10.45

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036-080007

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

03608000071 (IL)

Commercial Insurance / Payer ID Rr Medicare

200012706

Commercial Insurance / Payer ID Blue Cross Blue Shield

1500153 (IL)

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

1004 Health Ctr Dr, Mattoon, IL 619384607

Phone: 2172383435

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Charles Kind , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1013657550

Doctor of Podiatric Medicine

Jordan Norton

Speech-Language Pathologist

NPI 1063151108

Ashley Adams , APRN

Nurse Practitioner - Family

NPI 1124586565

Advanced Practice Registered Nurse

Dr. Jeremy Stevens , MD

Orthopaedic Surgery

NPI 1306843446

Doctor of Medicine (M.D.)

Shanna Davis , ATC

Specialist/Technologist - Athletic Trainer

NPI 1447563358

Certified Athletic Trainer

Dr. Mohammad Malik , MD

Orthopaedic Surgery

NPI 1578094272

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location September 24, 2018

Registered at 1004 HEALTH CENTER DR # 100, MATTOON, IL 619389253 (Tel: 2172383435)

📍

Updated Business Mailing Address September 24, 2018

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

✅

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2017

Registered at 1004 HEALTH CENTER DR, # 100, MATTOON, IL 619389253 (Tel: 2173452727)

📍

Updated Business Mailing Address February 02, 2017

Registered at 1004 HEALTH CENTER DR, # 100, MATTOON, IL 619389253 (Tel: 2173452727)

👤

Provider Name / Credentials Updated February 02, 2017

Recorded as JAMES KOHLMANN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Orthopaedic Surgery (License #036-080007 in IL)

✅

NPI Profile Active January 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2017

Registered at 100 DEERPATH, CHARLESTON, IL 619209427 (Tel: 2173452727)

📍

Updated Business Mailing Address January 05, 2017

Registered at 1004 HEALTH CENTER DR, # 100, MATTOON, IL 619389253 (Tel: 2173452727)

👤

Provider Name / Credentials Updated January 05, 2017

Recorded as JAMES KOHLMANN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2017

Orthopaedic Surgery (License #036-080007 in IL)

🟢

Initial NPI Registration & Enumeration July 15, 2005

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: 1588663272

Entity Type:

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

Enumeration Date: July 15, 2005

Last Update: September 24, 2018

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.