Active NPI 1033154109 Individual Practitioner Male Practitioner

Dr. Uretz John Oliphant , MD

Surgery • Mattoon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Uretz Oliphant, MD is a registered healthcare professional specializing in Surgery in Mattoon, IL. Practice services are available at 200 LERNA RD S under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Lerna Rd S

Mattoon, IL 619389388

Telephone 2172585900

Associated Practice Facility / Clinic

🏢 Carle Foundation Hospital Facility NPI 1073668836

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mattoon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.2 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Mattoon, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	29	$229.29	$95.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$570.00	$127.23
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$181.92	$65.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$190.38	$65.30
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$281.50	$48.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$91.83	$36.29
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$230.00	$66.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$170.38	$67.76
99202 New patient office or other outpatient visit, typically 20 minutes	47	47	$280.00	$49.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	13	$76.94	$12.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$83.00	$36.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$259.23	$71.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$146.22	$52.05
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$270.00	$51.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	16	$250.00	$73.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$87.68	$26.97
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	19	$82.17	$11.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$195.52	$51.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$230.34	$78.85
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$140.53	$51.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$103.50	$25.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$165.00	$39.56
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$297.69	$48.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$77.00	$25.64
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$260.00	$47.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$610.00	$202.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$121.00	$50.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$187.57	$76.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	21	$240.00	$72.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$600.00	$167.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$74.00	$25.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$550.00	$135.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$201.54	$38.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$600.00	$109.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$115.53	$49.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$173.00	$76.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	27	$73.62	$25.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$570.00	$163.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	25	$240.00	$71.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$560.00	$200.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$542.73	$109.44

Medical Specialties & State Licenses

CMS Verified: 2022-03-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036072317

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036072317 (IL)

Commercial Insurance / Payer ID Clinic Group Npi

1255380846 (IL)

Commercial Insurance / Payer ID Npi

1033154109 (IL)

Commercial Insurance / Payer ID Medicare Clinic Ptan

754210 (IL)

Secondary Practice Locations

3105 Fields South Dr

Champaign, IL 618223743

Phone: 2179022100

1300 Franklin Ave

Normal, IL 617613592

Phone: 3092683900

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. David Knox , MD

Pediatrics

NPI 1033222625

Doctor of Medicine (M.D.)

Emily Hardiek , NP

Nurse Practitioner - Family

NPI 1043867419

Nurse Practitioner

Karri Brown , NP

Nurse Practitioner - Family

NPI 1184856825

Nurse Practitioner

Dr. Aja Lystila , MD

Family Medicine

NPI 1215159744

Doctor of Medicine (M.D.)

Dr. Kristine Carpenter , MD

Family Medicine

NPI 1215198189

Doctor of Medicine (M.D.)

Tory Keefer , FNP

Nurse Practitioner - Family

NPI 1215437892

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address March 30, 2022

Registered at 611 W. PARK ST., FAPC, URBANA, IL 61801

✅

NPI Profile Active September 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2012

Registered at 200 LERNA RD S, MATTOON, IL 619389388 (Tel: 2172585900)

📍

Updated Business Mailing Address September 14, 2012

Registered at 200 LERNA RD S, MATTOON, IL 619389388 (Tel: 2172585900)

👤

Provider Name / Credentials Updated September 14, 2012

Recorded as URETZ OLIPHANT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2012

Surgery (License #036072317 in IL)

🟢

Initial NPI Registration & Enumeration June 20, 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: 1033154109

Entity Type:

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

Enumeration Date: June 20, 2006

Last Update: March 30, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W. Park St., Fapc

Urbana, IL 61801

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.