Active NPI 1215043971 Individual Practitioner Male Practitioner

Dr. Michael Smith , MD

Otolaryngology • Mattoon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Smith, MD is a certified Otolaryngology practicing in Mattoon, IL. With approximately 35 years of clinical experience since graduating from Wake Forest University School Of Medicine in 1991, Dr. Smith delivers high-quality medical care to the local community at 1005 HEALTH CENTER DR STE 201.

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

Frequently performed procedures and clinical services include sleep study in sleep lab with continuous airway pressure (6 years or older), unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort, sleep monitoring of patient (6 years or older) in sleep lab. 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

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Mattoon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +5.6 yrs vs City Avg

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

82.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (35 Years) 35 Yrs

Mattoon Specialty Average (29.4 Years) 29.4 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
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	112	108	$1336.19	$117.87
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	81	81	$385.78	$41.70
95810 Sleep monitoring of patient (6 years or older) in sleep lab	70	69	$1219.69	$114.96
99213 Established patient office or other outpatient visit, typically 15 minutes	55	51	$192.07	$62.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$271.84	$81.76
31575 Diagnostic exam of voice box using a flexible endoscope	30	30	$524.50	$64.49
69210 Removal of impacted ear wax	25	21	$125.60	$32.09
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$192.87	$69.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$270.30	$92.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$110.14	$45.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$110.05	$35.02
31575 Diagnostic exam of voice box using a flexible endoscope	16	15	$527.13	$76.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$286.63	$90.44
69210 Removal of impacted ear wax	14	12	$126.21	$33.61
31231 Diagnostic examination of nasal passages using an endoscope	13	12	$301.46	$62.32
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	13	$588.46	$140.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	115	111	$1289.50	$119.17
95810 Sleep monitoring of patient (6 years or older) in sleep lab	66	66	$1176.18	$114.14
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	66	66	$370.05	$43.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$255.69	$82.58
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$175.11	$64.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$255.46	$107.75
31575 Diagnostic exam of voice box using a flexible endoscope	32	30	$500.25	$66.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$94.59	$35.27
69210 Removal of impacted ear wax	27	24	$143.96	$32.18
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$170.05	$87.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$95.11	$54.74
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	14	11	$563.07	$139.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$423.92	$132.34
69210 Removal of impacted ear wax	12	11	$127.33	$46.69

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	90	90	$245.78	$82.91
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	84	84	$356.50	$43.29
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	71	65	$1236.46	$121.67
99213 Established patient office or other outpatient visit, typically 15 minutes	66	62	$154.97	$63.03
31575 Diagnostic exam of voice box using a flexible endoscope	58	47	$472.55	$64.39
95810 Sleep monitoring of patient (6 years or older) in sleep lab	45	45	$1128.00	$118.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$85.38	$36.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$244.41	$110.35
69210 Removal of impacted ear wax	35	29	$129.26	$32.34
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$155.86	$88.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$84.93	$55.10
31575 Diagnostic exam of voice box using a flexible endoscope	27	24	$483.44	$125.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$398.22	$134.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$410.17	$165.09
69210 Removal of impacted ear wax	21	19	$141.67	$44.62
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	11	$565.08	$144.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	67	63	$1191.25	$124.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$237.95	$83.55
95810 Sleep monitoring of patient (6 years or older) in sleep lab	45	45	$1082.98	$119.57
31575 Diagnostic exam of voice box using a flexible endoscope	39	35	$467.90	$63.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$238.63	$110.33
99213 Established patient office or other outpatient visit, typically 15 minutes	38	38	$150.74	$67.15
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	35	35	$342.20	$44.70
69210 Removal of impacted ear wax	34	30	$123.06	$33.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	29	$81.67	$34.60
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$150.38	$89.48
31575 Diagnostic exam of voice box using a flexible endoscope	24	24	$471.83	$121.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$82.43	$54.62
69210 Removal of impacted ear wax	21	19	$141.24	$45.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$401.80	$135.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$241.44	$99.12

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	78	78	$226.06	$106.23
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	74	69	$1141.78	$127.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$229.80	$75.86
99213 Established patient office or other outpatient visit, typically 15 minutes	59	57	$143.03	$72.61
95810 Sleep monitoring of patient (6 years or older) in sleep lab	49	49	$1034.98	$121.21
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	46	46	$329.43	$45.60
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$146.00	$50.67
69210 Removal of impacted ear wax	37	36	$105.08	$45.99
31575 Diagnostic exam of voice box using a flexible endoscope	35	33	$446.06	$67.25
31575 Diagnostic exam of voice box using a flexible endoscope	34	30	$448.24	$120.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	31	$77.32	$44.50
69210 Removal of impacted ear wax	26	26	$108.00	$34.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$77.90	$26.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$381.63	$131.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$233.28	$79.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$381.69	$163.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$231.00	$107.28
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$149.09	$74.80

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	212	212	$214.34	$105.64
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	126	124	$1083.50	$125.91
99213 Established patient office or other outpatient visit, typically 15 minutes	115	102	$135.23	$72.03
95810 Sleep monitoring of patient (6 years or older) in sleep lab	112	112	$984.63	$121.92
31575 Diagnostic exam of voice box using a flexible endoscope	103	94	$423.81	$111.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	71	$72.90	$43.10
69210 Removal of impacted ear wax	79	68	$99.22	$44.56
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	38	38	$310.58	$49.50
31231 Diagnostic examination of nasal passages using an endoscope	33	28	$242.18	$192.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$220.69	$106.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$362.80	$161.55
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$141.20	$72.35
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	23	20	$469.57	$206.15
10021 Fine needle aspiration biopsy, first growth	14	14	$182.79	$85.64
11104 Punch biopsy, first skin growth	12	12	$164.58	$119.31

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	$209.00	$105.03
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	145	142	$1057.00	$124.25
95810 Sleep monitoring of patient (6 years or older) in sleep lab	139	139	$961.00	$119.79
99213 Established patient office or other outpatient visit, typically 15 minutes	118	105	$132.00	$70.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	81	$71.00	$42.22
69210 Removal of impacted ear wax	83	71	$97.00	$46.39
31575 Diagnostic exam of voice box using a flexible endoscope	68	62	$413.00	$107.56
31231 Diagnostic examination of nasal passages using an endoscope	26	23	$236.00	$199.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$215.00	$104.41
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$140.95	$71.41
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	17	15	$456.29	$203.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$359.41	$152.46
95806 Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort	13	13	$303.00	$60.82

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	178	178	$204.80	$98.58
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	161	150	$1057.00	$118.18
99213 Established patient office or other outpatient visit, typically 15 minutes	146	132	$128.21	$66.46
95810 Sleep monitoring of patient (6 years or older) in sleep lab	123	123	$961.00	$114.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	86	$68.83	$39.64
69210 Removal of impacted ear wax	95	80	$94.53	$43.14
31575 Diagnostic exam of voice box using a flexible endoscope	86	77	$403.70	$102.77
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$134.47	$68.31
31231 Diagnostic examination of nasal passages using an endoscope	30	24	$230.00	$186.65
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	25	21	$431.20	$176.83

Medical Specialties & State Licenses

CMS Verified: 2024-11-08

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License IL 036-092274

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.

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384639

Phone: 2172584030

Secondary Practice Locations

905 N Maple St

Effingham, IL 624016401

Phone: 2173477077

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Lori Cudone , MD

Otolaryngology

NPI 1003037169

Doctor of Medicine (M.D.)

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. 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

10 Historical Events

📍

Updated Practice Location November 08, 2024

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

📍

Updated Business Mailing Address November 08, 2024

Registered at PO BOX 372, MATTOON, IL 619380372

📍

Updated Practice Location January 07, 2019

Registered at 1000 HEALTH CENTER DR STE 401, MATTOON, IL 61938 (Tel: 2172582409)

📍

Updated Business Mailing Address January 07, 2019

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

✅

NPI Profile Active April 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2011

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

📍

Updated Business Mailing Address April 28, 2011

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

👤

Provider Name / Credentials Updated April 28, 2011

Recorded as MICHAEL SMITH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2011

Otolaryngology (License #036-092274 in IL)

🟢

Initial NPI Registration & Enumeration August 22, 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: 1215043971

Entity Type:

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

Enumeration Date: August 22, 2006

Last Update: November 08, 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.