Active NPI 1871536730 Individual Practitioner Male Practitioner

Dr. James R Allen , MD

Surgery • Morris, IL

Professional Overview & Biography Verified Profile Summary

Dr. James Allen, MD is a registered healthcare professional specializing in Surgery in Morris, IL. Practice services are available at 1300 DRESDEN DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Dresden Dr

Morris, IL 604502476

Telephone 8159425200

Fax 8159425330

Associated Practice Facility / Clinic

🏢 Iatros, M.d.,s.c. Facility NPI 1154369262

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Morris, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Morris, IL (1624 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% 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 (2021)

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	420	179	$216.00	$127.96
99213 Established patient office or other outpatient visit, typically 15 minutes	58	43	$185.00	$89.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	46	$1105.00	$100.95
45380 Biopsy of large bowel using an endoscope	36	34	$1437.00	$172.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$275.00	$162.20
90662 Influenza vaccine split virus, preservative free	18	18	$66.00	$64.85
G0008 Administration of influenza virus vaccine	18	18	$20.61	$16.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1706.00	$257.10

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	388	179	$205.68	$107.15
99443 Telephone medical discussion with physician, 21-30 minutes	90	61	$102.21	$97.74
99213 Established patient office or other outpatient visit, typically 15 minutes	67	54	$175.55	$73.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	43	$1052.00	$95.34
45380 Biopsy of large bowel using an endoscope	34	34	$1369.00	$182.42
G0008 Administration of influenza virus vaccine	26	26	$19.81	$16.11
90662 Influenza vaccine split virus, preservative free	26	26	$64.42	$60.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$261.50	$156.39
99495 Transitional care management services for problem of at least moderate complexity	14	14	$277.57	$182.16
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	13	11	$38.85	$14.48

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	464	196	$204.00	$101.78
99213 Established patient office or other outpatient visit, typically 15 minutes	250	135	$174.00	$69.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	63	$1052.00	$98.91
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	52	51	$121.00	$11.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	39	$146.00	$41.91
45380 Biopsy of large bowel using an endoscope	28	28	$1369.00	$180.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	15	$75.00	$37.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$260.00	$156.62
99238 Hospital discharge day management, 30 minutes or less	16	15	$130.00	$69.47
81003 Automated urinalysis test	16	12	$81.00	$2.44
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$167.00	$97.47
99495 Transitional care management services for problem of at least moderate complexity	13	13	$211.31	$143.57

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	910	248	$123.32	$98.50
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	132	113	$175.00	$5.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	123	41	$220.00	$97.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	113	100	$950.90	$111.59
99213 Established patient office or other outpatient visit, typically 15 minutes	85	63	$101.51	$66.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	22	$71.98	$39.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	39	$285.00	$189.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	32	$200.00	$133.84
45380 Biopsy of large bowel using an endoscope	29	29	$964.45	$195.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	12	$200.00	$49.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$202.07	$152.11
99238 Hospital discharge day management, 30 minutes or less	24	22	$171.25	$68.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1100.00	$248.00
69210 Removal of impacted ear wax	15	13	$100.00	$44.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$600.00	$271.61

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	730	228	$120.00	$96.16
99213 Established patient office or other outpatient visit, typically 15 minutes	282	135	$95.00	$65.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	188	51	$220.00	$96.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	114	95	$950.00	$109.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	37	$65.00	$39.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	59	16	$200.00	$48.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	37	$285.00	$187.01
99238 Hospital discharge day management, 30 minutes or less	39	32	$175.00	$66.38
90662 Influenza vaccine split virus, preservative free	36	36	$45.00	$44.10
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	35	32	$175.00	$11.49
45380 Biopsy of large bowel using an endoscope	34	34	$950.00	$187.60
G0008 Administration of influenza virus vaccine	33	33	$39.39	$22.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1100.00	$241.14
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	26	25	$175.00	$5.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$200.00	$130.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$200.00	$145.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$150.00	$66.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$600.00	$283.29

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036078159

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

036078159 (IL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0003200054 (IL)

Commercial Insurance / Payer ID Health Alliance

020442 (IL)

Commercial Insurance / Payer ID Rail Road Medicare

020019476 (IL)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Theodore Bellos

Specialist

NPI 1013054949

Ashley Norkus , LCPC

Counselor - Professional

NPI 1326386657

Licensed Clinical Professional Counselor

Dr. Bradley Lawton , MD

Family Medicine

NPI 1568440949

Doctor of Medicine (M.D.)

Kira Sheedy , FNP-BC

Nurse Practitioner - Family

NPI 1770311748

Family Nurse Practitioner (Board Certified)

Kimberly Foster , LCSW

Social Worker - Clinical

NPI 1841730074

Licensed Clinical Social Worker

Dr. Peter Roumeliotis , MD

Internal Medicine

NPI 1942280326

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 19, 2018

Registered at 725 SCHOOL ST STE A, MORRIS, IL 604501207 (Tel: 8157055605)

✅

NPI Profile Active April 23, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2009

Registered at 1300 DRESDEN DR, MORRIS, IL 604502476 (Tel: 8159425200)

📍

Updated Business Mailing Address April 23, 2009

Registered at 1300 DRESDEN DR, MORRIS, IL 604502476 (Tel: 8159425200)

👤

Provider Name / Credentials Updated April 23, 2009

Recorded as JAMES ALLEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2009

Surgery (License #036078159 in IL)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1871536730

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: November 19, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

725 School St Ste A

Morris, IL 604501207

Phone: 8157055605

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.