Dr. Naresh Ahuja, MD - Surgery in Mount Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Naresh Ahuja, MD is a certified Surgery practicing in Mount Vernon, IL. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Ahuja delivers high-quality medical care to the local community at 4230 LINCOLNSHIRE DR STE A.

Dr. Ahuja maintains professional affiliations with Ahuja Bariatric And Beyond, Physician Services Corporation Of Southern Illinois Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4230 Lincolnshire Dr Ste A

Mount Vernon, IL 628642189

Telephone 6183156466

Fax 6183156469

Associated Practice Facility / Clinic

🏢 Fairview Heights Medical Group Sc Facility NPI 1326171158

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Vernon, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +8.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Mount Vernon, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ahuja (31 Years) 31 Yrs

Mount Vernon Specialty Average (23.0 Years) 23.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$1026.00	$161.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	51	$775.00	$121.21
99213 Established patient office or other outpatient visit, typically 15 minutes	62	52	$551.00	$86.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	26	$1100.00	$173.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$829.00	$126.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	13	$435.00	$67.33
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	$1357.00	$211.97
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$1246.44	$175.34
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	24	24	$2090.31	$130.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	53	$551.00	$83.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	49	$775.00	$118.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$1026.00	$160.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	41	$829.00	$125.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	28	$505.00	$85.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$1357.00	$212.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$435.00	$77.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$1100.00	$165.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$688.00	$108.42
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1250.00	$179.81
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$9815.00	$1746.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$302.00	$100.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$438.76	$135.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$664.13	$133.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	14	$193.18	$38.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	13	$775.00	$124.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$295.24	$97.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$1026.00	$164.02

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	44	39	$220.80	$98.48
99213 Established patient office or other outpatient visit, typically 15 minutes	42	30	$111.82	$66.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$346.21	$131.22
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$279.00	$101.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$355.00	$135.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$876.00	$110.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$110.78	$38.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$185.00	$71.71

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	58	53	$189.78	$79.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$326.68	$131.46
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$89.46	$51.83
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$265.00	$101.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$103.00	$39.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$167.60	$76.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$339.00	$139.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$882.58	$111.83

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	80	70	$173.63	$106.62
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$118.97	$72.66
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$236.60	$102.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$215.40	$106.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$922.13	$129.95
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$121.55	$74.65

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	95	76	$165.00	$102.56
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$111.00	$69.86
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	20	20	$3510.00	$1035.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$254.00	$160.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$166.00	$104.99
43644 Bypass operation of stomach using an endoscope	13	13	$6110.31	$1786.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$827.00	$142.20

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	62	58	$165.00	$103.10
99213 Established patient office or other outpatient visit, typically 15 minutes	51	43	$111.00	$66.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$254.00	$156.04
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$3510.00	$999.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$827.00	$142.63
47562 Removal of gallbladder using an endoscope	11	11	$2522.00	$557.27

Medical Specialties & State Licenses

CMS Verified: 2026-08-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036124910

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD434356

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

036124910 (IL)

Commercial Insurance / Payer ID Aetna

721089 (IL)

Commercial Insurance / Payer ID Bcbs

3932056 (IL)

Hospital & Practice Group Affiliations

Physician Services Corporation Of Southern Illinois Inc

2 Good Samaritan Way, Mount Vernon, IL 628642476

Phone: 6188993970

Ahuja Bariatric And Beyond

4230 Lincolnshire Dr, Mount Vernon, IL 628642189

Phone: 6183156466

Secondary Practice Locations

404 Lincoln Dr

Herrin, IL 629483789

Phone: 6189930056

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Reno Ahuja , MD

Psychiatry & Neurology - Psychiatry

NPI 1619107968

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Surgery (License #036124910 in IL)

📍

Updated Practice Location October 26, 2022

Registered at 4230 LINCOLNSHIRE DR STE A, MOUNT VERNON, IL 628642189 (Tel: 6183156466)

📍

Updated Business Mailing Address October 26, 2022

Registered at PO BOX 675, MOUNT VERNON, IL 628640014 (Tel: 6183156466)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2022

Surgery (License #MD434356 in PA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Surgery (License #036124910 in IL)

✅

NPI Profile Active July 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2010

Registered at 317 S 14TH ST, HERRIN, IL 629483671 (Tel: 6189886171)

📍

Updated Business Mailing Address July 26, 2010

Registered at 317 S 14TH ST, HERRIN, IL 629483671 (Tel: 6189886171)

👤

Provider Name / Credentials Updated July 26, 2010

Recorded as NARESH AHUJA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2010

Surgery (License #036124910 in IL)

🟢

Initial NPI Registration & Enumeration May 21, 2008

First registered as active Individual Practitioner in NPPES Database.

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Dr. Naresh Kumar Ahuja , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Physician Services Corporation Of Southern Illinois Inc

Ahuja Bariatric And Beyond

Secondary Practice Locations

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address