Active NPI 1003037169 Individual Practitioner Female Practitioner

Dr. Lori Cudone , MD

Otolaryngology • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Lori Cudone, MD is a registered healthcare professional specializing in Otolaryngology in Mattoon, IL. Practice services are available at 1005 HEALTH CENTER DR STE 201 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of voice box 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

1005 Health Center Dr Ste 201

Mattoon, IL 619384653

Telephone 2172582409

Fax 2172582323

Associated Practice Facility / Clinic

🏢 Sarah Bush Lincoln Health Center Facility NPI 1912988734

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Mattoon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.4 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Mattoon, IL (502 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes	82	71	$191.80	$66.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$455.57	$137.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$283.70	$99.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$270.92	$83.79
31575 Diagnostic exam of voice box using a flexible endoscope	24	19	$516.00	$68.75
69210 Removal of impacted ear wax	20	16	$129.90	$33.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$266.00	$82.57
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$47.00	$46.86
69210 Removal of impacted ear wax	39	38	$60.00	$32.68
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$188.00	$65.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$447.00	$128.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$58.00	$57.80
31575 Diagnostic exam of voice box using a flexible endoscope	20	18	$509.10	$67.26
69210 Removal of impacted ear wax	19	17	$127.05	$31.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$67.00	$66.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$277.00	$96.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$58.78	$58.29
99213 Established patient office or other outpatient visit, typically 15 minutes	167	115	$47.78	$47.43
69210 Removal of impacted ear wax	140	103	$61.00	$33.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$91.04	$86.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	42	$30.47	$28.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	29	$67.00	$67.01
31575 Diagnostic exam of voice box using a flexible endoscope	23	20	$158.00	$66.05
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$37.00	$36.98
69200 Removal of foreign body from ear canal	12	11	$101.00	$47.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	157	119	$61.76	$53.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$71.42	$63.33
69210 Removal of impacted ear wax	83	67	$73.63	$36.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$114.60	$95.17
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$146.00	$67.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$34.00	$31.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$93.89	$78.06
31575 Diagnostic exam of voice box using a flexible endoscope	27	22	$231.93	$79.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$231.00	$83.45
69210 Removal of impacted ear wax	14	14	$114.57	$32.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$238.00	$90.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	155	17	$55.81	$13.82
99213 Established patient office or other outpatient visit, typically 15 minutes	151	122	$141.92	$72.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$223.01	$104.47
95165 Professional service for preparation and provision of 1 or more antigens	100	13	$59.00	$3.28
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$145.38	$52.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$229.65	$76.81
69210 Removal of impacted ear wax	55	46	$103.96	$46.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$230.86	$100.29
31575 Diagnostic exam of voice box using a flexible endoscope	47	40	$440.09	$119.62
69210 Removal of impacted ear wax	44	38	$108.00	$33.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$376.18	$158.88
31575 Diagnostic exam of voice box using a flexible endoscope	24	23	$446.33	$67.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$233.43	$78.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$388.10	$127.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$76.56	$44.37
11104 Punch biopsy, first skin growth	15	14	$156.20	$121.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	395	19	$56.79	$13.43
95115 Injection of incremental dosages of allergen	261	13	$28.11	$8.66
99213 Established patient office or other outpatient visit, typically 15 minutes	256	193	$135.64	$72.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$215.04	$104.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	185	185	$359.39	$160.75
69210 Removal of impacted ear wax	141	113	$99.27	$44.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	106	$220.50	$104.38
31575 Diagnostic exam of voice box using a flexible endoscope	92	70	$423.50	$110.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	38	$72.51	$43.59
11104 Punch biopsy, first skin growth	18	18	$162.56	$116.14
31231 Diagnostic examination of nasal passages using an endoscope	14	11	$241.14	$185.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	243	195	$132.00	$70.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$209.54	$104.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$352.00	$159.91
69210 Removal of impacted ear wax	157	130	$97.00	$45.44
95165 Professional service for preparation and provision of 1 or more antigens	117	12	$179.83	$12.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	108	$215.00	$103.00
31575 Diagnostic exam of voice box using a flexible endoscope	108	73	$413.00	$106.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	61	$71.00	$41.92
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$137.00	$72.65
11100 Biopsy of single growth of skin and/or tissue	17	15	$164.00	$95.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	261	205	$128.59	$66.82
95117 Professional service for multiple injections of allergen	254	21	$30.85	$9.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$342.51	$148.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	153	153	$203.44	$98.92
69210 Removal of impacted ear wax	131	110	$94.02	$43.26
95165 Professional service for preparation and provision of 1 or more antigens	120	19	$171.22	$11.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	86	$209.33	$98.48
31575 Diagnostic exam of voice box using a flexible endoscope	91	76	$404.43	$100.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	56	$69.21	$39.59
11100 Biopsy of single growth of skin and/or tissue	23	22	$158.78	$89.53
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$134.67	$68.36
30901 Simple control of nose bleed	12	11	$177.75	$87.96

Medical Specialties & State Licenses

CMS Verified: 2024-11-11

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License IL 036-127079

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology

NUCC Taxonomy Code: 207Y00000X

State License IL 125-051257

Secondary Practice Locations

905 N Maple St

Effingham, IL 624016433

Phone: 2173477077

215 E 1st St Ste 111

Dixon, IL 610213198

Phone: 8152855603

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Katherine Chesnut , AuD

Audiologist

NPI 1053965806

Doctor of Audiology

Dr. Mary Gorman , MD

Otolaryngology

NPI 1063636041

Doctor of Medicine (M.D.)

Loring Barr , APRN

Nurse Practitioner - Family

NPI 1073055885

Advanced Practice Registered Nurse

Dr. Michael Smith , MD

Otolaryngology

NPI 1215043971

Doctor of Medicine (M.D.)

Dr. Kaley Graves , AuD

Audiologist

NPI 1245114537

Doctor of Audiology

Dr. Anand Ponnappan , MD

Otolaryngology

NPI 1629124243

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location November 11, 2024

Registered at 1005 HEALTH CENTER DR STE 201, MATTOON, IL 619384653 (Tel: 2172582409)

📍

Updated Practice Location September 11, 2023

Registered at 1000 HEALTH CENTER DR STE 401, MATTOON, IL 619384648 (Tel: 2172582409)

📍

Updated Business Mailing Address September 11, 2023

Registered at PO BOX 372, MATTOON, IL 619380372 (Tel: 2178682812)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Otolaryngology (License #125-051257 in IL)

📍

Updated Practice Location April 09, 2021

Registered at 215 E 1ST ST STE 111, DIXON, IL 610213198 (Tel: 8152855603)

📍

Updated Business Mailing Address April 09, 2021

Registered at 215 E 1ST ST STE 111, DIXON, IL 610213198 (Tel: 8152855603)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Otolaryngology (License #036-127079 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Otolaryngology (License #125-051257 in IL)

📍

Updated Practice Location September 21, 2018

Registered at 1000 HEALTH CENTER DR STE 401, MATTOON, IL 619389253 (Tel: 2172582409)

📍

Updated Business Mailing Address September 21, 2018

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

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2018

Otolaryngology (License #036-127079 in IL)

✅

NPI Profile Active June 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2011

Registered at 500 HEALTH CENTER DR, SUITE 401, MATTOON, IL 619389258 (Tel: 2172582409)

📍

Updated Business Mailing Address June 08, 2011

Registered at 1005 HEALTH CENTER DR # I, SUITE 202, SYSTEM PRACTICES, MATTOON, IL 619384693 (Tel: 2172582576)

👤

Provider Name / Credentials Updated June 08, 2011

Recorded as LORI CUDONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2011

Otolaryngology (License #125-051257 in IL)

🟢

Initial NPI Registration & Enumeration May 02, 2007

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: 1003037169

Entity Type:

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

Enumeration Date: May 02, 2007

Last Update: November 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 372

Mattoon, IL 619380372

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.