Active NPI 1710965223 Individual Practitioner Male Practitioner

Dr. Thomas L Vongillern , MD

Orthopaedic Surgery - Hand Surgery • Moline, IL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Vongillern, MD is a registered Orthopaedic Surgery - Hand Surgery practitioner in Moline, IL. With approximately 51 years of clinical practice since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1975, Dr. Vongillern provides healthcare services at the registered practice location at 520 VALLEY VIEW DR.

Dr. Vongillern is affiliated with Ora Orthopedics Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, gadoterate meglumine, 0.1 ml, low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

520 Valley View Dr

Moline, IL 612656152

Telephone 3097623621

Fax 3097623690

Associated Practice Facility / Clinic

🏢 Ora Orthopedics Pc Facility NPI 1962481861

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Moline, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +25.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Moline, IL (135 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vongillern (51 Years) 51 Yrs

Moline Specialty Average (26.0 Years) 26.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	840	14	$0.30	$0.13
A9575 Injection, gadoterate meglumine, 0.1 ml	780	26	$0.64	$0.12
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	608	47	$2.00	$0.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	590	87	$6.00	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	213	134	$268.00	$85.90
73130 X-ray of hand, minimum of 3 views	128	82	$111.00	$34.22
20610 Aspiration and/or injection of fluid from large joint	110	76	$499.14	$70.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$357.00	$107.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	64	$379.00	$122.44
73030 X-ray of shoulder, minimum of 2 views	56	35	$121.00	$32.11
73564 X-ray of knee, 4 or more views	50	39	$150.00	$42.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$544.00	$161.04
77002 Fluoroscopic guidance for needle placement	48	48	$350.00	$105.77
73110 X-ray of wrist, minimum of 3 views	39	19	$129.00	$37.78
73502 X-ray of hip, 2-3 views	37	25	$138.05	$42.76
23350 Injection of dye for X-ray imaging of shoulder joint	36	36	$605.00	$148.83
73562 X-ray of knee, 3 views	23	14	$129.00	$37.52
73222 Mri scan of arm joint with contrast	23	23	$1654.78	$240.55
64721 Release and/or relocation of hand nerve	21	18	$1880.00	$344.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$168.00	$53.65
20600 Aspiration and/or injection of fluid from small joint	18	12	$289.67	$57.52
26055 Incision of tendon covering	18	15	$1793.00	$230.61
73080 X-ray of elbow, minimum of 3 views	13	12	$114.00	$30.33
73721 Mri scan of leg joint without contrast	13	13	$1028.00	$129.92
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	13	13	$35.00	$23.36
29075 Application of elbow to finger cast	11	11	$370.00	$84.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	420	23	$0.52	$0.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	364	64	$6.00	$1.08
99213 Established patient office or other outpatient visit, typically 15 minutes	163	118	$268.00	$85.47
73130 X-ray of hand, minimum of 3 views	113	78	$111.00	$34.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	88	$379.00	$122.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$357.00	$107.42
73110 X-ray of wrist, minimum of 3 views	62	31	$128.16	$37.22
20610 Aspiration and/or injection of fluid from large joint	62	48	$471.45	$68.65
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	59	13	$2.00	$0.14
73030 X-ray of shoulder, minimum of 2 views	47	32	$119.09	$31.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$544.00	$160.81
73564 X-ray of knee, 4 or more views	41	29	$150.00	$43.51
64721 Release and/or relocation of hand nerve	32	29	$1880.00	$360.50
26055 Incision of tendon covering	29	19	$1793.00	$201.52
73562 X-ray of knee, 3 views	23	16	$129.00	$37.92
73502 X-ray of hip, 2-3 views	23	19	$141.00	$43.88
20600 Aspiration and/or injection of fluid from small joint	22	14	$269.32	$53.32
73222 Mri scan of arm joint with contrast	21	20	$1641.29	$241.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$168.00	$54.12
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	17	12	$35.00	$22.77
29075 Application of elbow to finger cast	16	12	$370.00	$85.00
73721 Mri scan of leg joint without contrast	16	16	$1028.00	$134.08
77002 Fluoroscopic guidance for needle placement	13	13	$350.00	$108.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	380	19	$0.27	$0.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	226	40	$6.00	$1.15
99213 Established patient office or other outpatient visit, typically 15 minutes	172	118	$229.00	$86.76
73130 X-ray of hand, minimum of 3 views	145	79	$104.46	$34.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	76	$336.00	$123.98
73030 X-ray of shoulder, minimum of 2 views	70	40	$106.17	$32.14
20610 Aspiration and/or injection of fluid from large joint	57	45	$501.33	$73.48
73564 X-ray of knee, 4 or more views	51	41	$142.18	$43.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$340.00	$109.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	41	$138.00	$54.84
73110 X-ray of wrist, minimum of 3 views	44	25	$118.09	$37.76
73562 X-ray of knee, 3 views	41	27	$119.49	$37.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$518.00	$162.84
26055 Incision of tendon covering	28	19	$1450.00	$214.40
J1040 Injection, methylprednisolone acetate, 80 mg	26	17	$20.00	$11.45
64721 Release and/or relocation of hand nerve	26	24	$1790.00	$396.86
73502 X-ray of hip, 2-3 views	25	21	$114.72	$44.16
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$156.00	$47.97
77077 X-ray of joints, multiple	16	16	$139.00	$43.42
73222 Mri scan of arm joint with contrast	16	16	$1309.00	$238.40
27447 Replacement of knee joint, both sides of knee	14	14	$6104.00	$1212.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	250	25	$0.27	$0.16
73130 X-ray of hand, minimum of 3 views	200	123	$106.00	$34.32
99213 Established patient office or other outpatient visit, typically 15 minutes	166	132	$229.00	$88.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	115	$336.00	$126.84
J1040 Injection, methylprednisolone acetate, 80 mg	131	72	$20.00	$10.65
20610 Aspiration and/or injection of fluid from large joint	90	64	$440.48	$71.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$518.00	$161.48
73030 X-ray of shoulder, minimum of 2 views	69	53	$107.90	$32.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$340.00	$108.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	57	$138.00	$54.49
J1030 Injection, methylprednisolone acetate, 40 mg	59	25	$10.00	$5.69
73110 X-ray of wrist, minimum of 3 views	57	29	$123.00	$38.26
73564 X-ray of knee, 4 or more views	45	33	$143.00	$42.45
64721 Release and/or relocation of hand nerve	33	29	$1790.00	$411.32
20600 Aspiration and/or injection of fluid from small joint	32	20	$266.25	$55.24
73080 X-ray of elbow, minimum of 3 views	28	20	$103.57	$29.05
73502 X-ray of hip, 2-3 views	27	22	$114.81	$43.73
73222 Mri scan of arm joint with contrast	26	25	$1309.00	$260.50
26055 Incision of tendon covering	21	17	$1450.00	$228.01
20605 Aspiration and/or injection of medium joint or joint capsule	20	14	$338.90	$53.22
73721 Mri scan of leg joint without contrast	20	20	$1059.05	$140.66
73562 X-ray of knee, 3 views	17	12	$120.88	$37.75
26480 Transplant of tendon of hand, without graft	12	11	$2990.00	$389.19
25447 Removal of bone joints between wrist and fingers	12	11	$3273.00	$827.67
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$159.00	$48.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9575 Injection, gadoterate meglumine, 0.1 ml	450	25	$0.27	$0.18
99213 Established patient office or other outpatient visit, typically 15 minutes	268	168	$229.00	$73.10
J1040 Injection, methylprednisolone acetate, 80 mg	174	64	$20.00	$11.57
73130 X-ray of hand, minimum of 3 views	161	102	$105.01	$32.87
20610 Aspiration and/or injection of fluid from large joint	123	57	$297.29	$67.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	104	104	$340.00	$104.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	81	$336.00	$106.77
73110 X-ray of wrist, minimum of 3 views	82	43	$119.93	$36.19
73030 X-ray of shoulder, minimum of 2 views	67	49	$100.97	$29.29
73564 X-ray of knee, 4 or more views	52	48	$127.65	$37.62
J1030 Injection, methylprednisolone acetate, 40 mg	47	16	$10.00	$6.04
73502 X-ray of hip, 2-3 views	47	36	$108.51	$39.86
64721 Release and/or relocation of hand nerve	39	31	$1790.00	$357.98
73080 X-ray of elbow, minimum of 3 views	32	25	$104.88	$28.56
73562 X-ray of knee, 3 views	28	20	$115.29	$34.45
20600 Aspiration and/or injection of fluid from small joint	27	13	$254.89	$58.37
26055 Incision of tendon covering	25	17	$1450.00	$226.50
73222 Mri scan of arm joint with contrast	24	23	$1363.54	$270.36
20605 Aspiration and/or injection of medium joint or joint capsule	21	11	$356.29	$54.96
29075 Application of elbow to finger cast	19	14	$352.00	$75.74
73630 X-ray of foot, minimum of 3 views	19	13	$78.53	$24.48
73721 Mri scan of leg joint without contrast	18	18	$992.11	$147.88
73610 X-ray of ankle, minimum of 3 views	18	13	$94.33	$28.80
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$132.00	$38.79
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	16	12	$33.00	$20.06
64718 Release and/or relocation of elbow nerve	13	11	$2489.00	$571.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	421	255	$229.00	$71.22
A9575 Injection, gadoterate meglumine, 0.1 ml	330	32	$0.27	$0.21
73130 X-ray of hand, minimum of 3 views	226	138	$102.04	$30.64
J1040 Injection, methylprednisolone acetate, 80 mg	220	98	$20.00	$11.59
20610 Aspiration and/or injection of fluid from large joint	172	96	$310.72	$66.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$340.00	$104.38
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	126	26	$1.98	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	93	$336.00	$104.82
73110 X-ray of wrist, minimum of 3 views	95	39	$117.32	$33.31
73030 X-ray of shoulder, minimum of 2 views	91	60	$106.10	$27.64
73562 X-ray of knee, 3 views	65	34	$119.12	$34.36
73564 X-ray of knee, 4 or more views	64	51	$139.72	$38.25
J1030 Injection, methylprednisolone acetate, 40 mg	59	31	$10.00	$6.27
77002 Fluoroscopic guidance for needle placement	54	27	$136.00	$48.20
73502 X-ray of hip, 2-3 views	46	38	$112.52	$38.95
64721 Release and/or relocation of hand nerve	44	35	$1705.00	$356.13
26055 Incision of tendon covering	42	24	$1242.00	$237.45
73080 X-ray of elbow, minimum of 3 views	33	23	$104.70	$27.31
73222 Mri scan of arm joint with contrast	32	31	$1390.81	$285.40
20600 Aspiration and/or injection of fluid from small joint	32	21	$232.50	$54.37
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	25	17	$33.00	$19.72
29075 Application of elbow to finger cast	24	16	$352.00	$84.79
73721 Mri scan of leg joint without contrast	23	21	$1047.30	$156.86
73630 X-ray of foot, minimum of 3 views	20	14	$99.90	$28.06
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$148.71	$42.94
73610 X-ray of ankle, minimum of 3 views	13	11	$98.85	$29.02
23350 Injection of dye for X-ray imaging of shoulder joint	13	13	$549.00	$134.87
77077 X-ray of joints, multiple	11	11	$139.00	$37.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,238	349	$65.00	$25.55
97530 Therapy procedure using functional activities	678	245	$72.00	$37.46
99213 Established patient office or other outpatient visit, typically 15 minutes	395	236	$229.00	$73.60
97140 Therapy procedure using manual technique, each 15 minutes	331	159	$61.00	$22.37
73130 X-ray of hand, minimum of 3 views	241	148	$104.27	$31.06
A9575 Injection, gadoterate meglumine, 0.1 ml	200	18	$0.27	$0.20
J1040 Injection, methylprednisolone acetate, 80 mg	200	79	$20.00	$12.94
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	174	97	$68.00	$31.16
20610 Aspiration and/or injection of fluid from large joint	148	75	$314.90	$69.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$340.00	$109.31
73110 X-ray of wrist, minimum of 3 views	81	40	$119.00	$33.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	71	$336.00	$108.45
73562 X-ray of knee, 3 views	75	39	$116.09	$33.42
73564 X-ray of knee, 4 or more views	72	61	$135.42	$37.09
J1030 Injection, methylprednisolone acetate, 40 mg	64	34	$10.00	$6.65
73030 X-ray of shoulder, minimum of 2 views	62	46	$105.81	$27.86
97162 Evaluation for physical therapy, typically 30 minutes	53	53	$153.00	$85.52
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	52	11	$2.00	$0.12
64721 Release and/or relocation of hand nerve	50	46	$1705.00	$377.42
20600 Aspiration and/or injection of fluid from small joint	45	29	$223.20	$50.73
73502 X-ray of hip, 2-3 views	41	33	$109.76	$38.62
97116 Walking training to 1 or more areas, each 15 minutes	37	20	$62.00	$24.36
26055 Incision of tendon covering	36	26	$1242.00	$221.71
73080 X-ray of elbow, minimum of 3 views	32	18	$104.88	$30.09
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	29	23	$33.00	$19.28
73222 Mri scan of arm joint with contrast	28	27	$1329.04	$281.13
29075 Application of elbow to finger cast	28	22	$352.00	$89.07
73721 Mri scan of leg joint without contrast	26	25	$1080.81	$182.79
97035 Application of ultrasound, each 15 minutes	24	16	$30.00	$11.01
77002 Fluoroscopic guidance for needle placement	21	11	$142.38	$48.92
97161 Evaluation of physical therapy, typically 20 minutes	20	20	$133.00	$84.88
77077 X-ray of joints, multiple	17	17	$139.00	$37.25
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$258.00	$48.78
97166 Evaluation of occupational therapy, typically 45 minutes	16	15	$173.00	$92.04
73630 X-ray of foot, minimum of 3 views	16	13	$93.31	$26.39
27447 Replacement of knee joint, both sides of knee	16	16	$6104.00	$1445.50
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$234.00	$76.33
26123 Removal of connective tissue of palm and release of finger, first digit	12	11	$3300.00	$855.45
29846 Removal or repair of wrist cartilage using an endoscope	12	12	$2404.00	$472.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$138.00	$42.42
23120 Partial removal of collar bone	11	11	$2337.00	$304.56
97165 Evaluation for occupational therapy, typically 30 minutes	11	11	$153.00	$92.24
23412 Repair of chronic torn shoulder rotator cuff	11	11	$3388.00	$853.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	994	289	$65.00	$24.81
97530 Therapy procedure using functional activities	644	250	$72.00	$30.65
97140 Therapy procedure using manual technique, each 15 minutes	378	147	$61.00	$21.67
99213 Established patient office or other outpatient visit, typically 15 minutes	335	210	$229.00	$69.07
73130 X-ray of hand, minimum of 3 views	237	142	$99.43	$26.59
J1040 Injection, methylprednisolone acetate, 80 mg	193	77	$20.00	$10.90
20610 Aspiration and/or injection of fluid from large joint	147	67	$309.40	$65.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	104	$336.00	$102.35
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	106	61	$68.00	$28.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$340.00	$102.48
73110 X-ray of wrist, minimum of 3 views	81	43	$115.27	$31.14
J1030 Injection, methylprednisolone acetate, 40 mg	61	31	$10.00	$5.85
73564 X-ray of knee, 4 or more views	60	44	$126.63	$32.73
73562 X-ray of knee, 3 views	52	28	$113.31	$30.85
20600 Aspiration and/or injection of fluid from small joint	48	25	$240.25	$50.18
97035 Application of ultrasound, each 15 minutes	45	27	$30.00	$10.11
97162 Evaluation for physical therapy, typically 30 minutes	41	41	$153.00	$79.03
26055 Incision of tendon covering	39	32	$1242.00	$230.72
73630 X-ray of foot, minimum of 3 views	39	21	$91.08	$24.00
64721 Release and/or relocation of hand nerve	38	33	$1749.84	$333.60
29075 Application of elbow to finger cast	31	20	$352.00	$82.04
73030 X-ray of shoulder, minimum of 2 views	31	28	$95.90	$23.68
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	30	20	$33.00	$18.59
97161 Evaluation of physical therapy, typically 20 minutes	28	26	$133.00	$79.10
20605 Aspiration and/or injection of medium joint or joint capsule	23	18	$258.00	$44.91
73502 X-ray of hip, 2-3 views	20	17	$106.40	$35.37
73080 X-ray of elbow, minimum of 3 views	18	16	$107.17	$28.67
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	15	15	$8.00	$1.87
73721 Mri scan of leg joint without contrast	15	15	$969.00	$153.53
73222 Mri scan of arm joint with contrast	14	14	$1309.00	$268.87
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$140.54	$39.79
64718 Release and/or relocation of elbow nerve	12	11	$2370.00	$537.50
77077 X-ray of joints, multiple	12	11	$139.00	$35.17
27447 Replacement of knee joint, both sides of knee	11	11	$6104.00	$1369.66
97165 Evaluation for occupational therapy, typically 30 minutes	11	11	$153.00	$89.33
25447 Removal of bone joints between wrist and fingers	11	11	$3273.00	$761.71

Medical Specialties & State Licenses

CMS Verified: 2026-03-05

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License IL 036062158

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License IA 29517

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IL 036062158

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IA 29517

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0910729 (IA)

Medicaid State Provider ID

036062158 (IL)

Commercial Insurance / Payer ID Health Alliance

020376

Commercial Insurance / Payer ID Bcbs

8121085 (IL)

Commercial Insurance / Payer ID Wellmark

05283

Commercial Insurance / Payer ID Midlands Choice

17658

Commercial Insurance / Payer ID Ia Health Solutions

20177

Commercial Insurance / Payer ID Wellmark

91390

Commercial Insurance / Payer ID Wellmark

99205

Commercial Insurance / Payer ID Rr Medicare

200011702

Hospital & Practice Group Affiliations

Ora Orthopedics Pc

6101 Northwest Blvd, Davenport, IA 528061861

Phone: 5633220971

Ora Orthopedics Pc

520 Valley View Dr, Moline, IL 612656194

Phone: 3097623621

Practice Associates & Co-Workers

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

37 Associated Practitioners

Dr. Russell Carlson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023271137

Doctor of Podiatric Medicine

Dr. John Baker , MD

Orthopaedic Surgery

NPI 1063490704

Doctor of Medicine (M.D.)

Dr. Michael Berry , MD

Orthopaedic Surgery

NPI 1114121969

Doctor of Medicine (M.D.)

Jennifer Miller

Physician Assistant

NPI 1134437304

John Van Straten

Anesthesiology - Pain Medicine

NPI 1164712873

Dr. Steven Boardman , MD

Orthopaedic Surgery

NPI 1174501829

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2026

Orthopaedic Surgery (License #036062158 in IL)

✅

NPI Profile Active November 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2013

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656152 (Tel: 3097623621)

📍

Updated Business Mailing Address November 21, 2013

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656194 (Tel: 3097623621)

👤

Provider Name / Credentials Updated November 21, 2013

Recorded as THOMAS VONGILLERN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2013

Orthopaedic Surgery (License #29517 in IA)

🟢

Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1710965223

Entity Type:

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

Enumeration Date: January 04, 2006

Last Update: March 05, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

520 Valley View Dr

Moline, IL 612656194

Phone: 3097623621

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.