Deactivated NPI 1144226085 Deactivated / Inactive NPI Male Practitioner

Dr. Kevin B Claffey , MD

Surgery • Mount Vernon, IL

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Claffey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2005

NPI Deactivation Date June 24, 2005

Total Practice Duration ~16 Years of Practice (1989 – 2005)

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Claffey, MD was a registered Surgery in Mount Vernon, IL. Prior to record deactivation on 2005-06-24, Dr. Claffey completed approximately 16 years of clinical practice following graduation from Hahnemann University College Of Medicine in 1989.

Dr. Claffey was affiliated with Salem Township Hospital and accepted Medicare assignment.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, diagnostic exam of large bowel using a flexible endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4218 Lincolnshire Dr

Mount Vernon, IL 628642156

Telephone 6182428480

Fax 6182428499

Associated Practice Facility / Clinic

🏢 Physician Services Corporation Of Southern Illinois Inc. Facility NPI 1831101807

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1989

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

37 Yrs +14.0 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

60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Claffey (37 Years) 37 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 (2022)

Reporting Year:

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	106	106	$227.43	$109.47
99213 Established patient office or other outpatient visit, typically 15 minutes	50	39	$158.03	$87.80
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$410.37	$180.66
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$536.71	$218.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$305.24	$85.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$563.45	$180.64
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$221.32	$99.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	45	$158.03	$90.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$227.43	$111.27
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$221.32	$101.33
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$410.37	$182.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$305.24	$107.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$176.00	$72.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$262.00	$104.30
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$553.00	$192.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	146	$140.85	$71.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	43	$99.16	$39.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$221.74	$104.47
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	38	$1356.00	$222.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$907.44	$98.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$1150.00	$191.61
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$1093.00	$192.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	25	$163.28	$71.12
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$249.00	$101.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$210.96	$106.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$301.00	$132.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$89.00	$43.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1518.00	$264.42
49505 Repair of groin hernia (5 years or older)	13	13	$2221.54	$599.66
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2702.23	$322.57
43246 Insertion of stomach tube using a flexible endoscope	12	11	$1235.00	$199.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	142	$137.39	$69.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$222.17	$103.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	43	$98.00	$38.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	43	$873.02	$90.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	36	$163.00	$72.06
45378 Diagnostic exam of large bowel using a flexible endoscope	43	43	$1094.33	$185.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	39	$1518.00	$239.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$208.78	$102.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	34	33	$1150.00	$187.62
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	25	25	$1356.00	$200.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$88.83	$42.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$301.00	$135.65
45380 Biopsy of large bowel using an endoscope	15	15	$1205.40	$131.03
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$86.27	$18.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$242.00	$103.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2708.92	$345.09
47562 Removal of gallbladder using an endoscope	12	12	$2862.50	$619.94
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$249.00	$100.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	156	129	$131.00	$70.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$212.00	$103.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	73	$99.00	$38.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$288.00	$135.37
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$237.00	$100.59
45378 Diagnostic exam of large bowel using a flexible endoscope	32	32	$1150.78	$190.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$201.00	$103.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$155.00	$71.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1598.00	$228.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$947.90	$109.38
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	21	21	$1427.00	$190.47
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$1150.00	$189.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$90.00	$18.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2840.00	$346.60
47562 Removal of gallbladder using an endoscope	13	13	$3000.00	$673.79

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

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.

Hospital & Practice Group Affiliations

Salem Township Hospital

1201 Ricker Rd, Salem, IL 628814263

Phone: 61854831948188

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Andrew Johnson , MD

Surgery

NPI 1164418943

Doctor of Medicine (M.D.)

Dr. Alan Harad , MD

Surgery

NPI 1679579510

Doctor of Medicine (M.D.)

Dr. Charles Longwell , MD

Surgery

NPI 1801892757

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 Practice Location February 07, 2008

Registered at 4218 LINCOLNSHIRE DR, MOUNT VERNON, IL 628642156 (Tel: 6182428480)

📍

Updated Business Mailing Address February 07, 2008

Registered at 4218 LINCOLNSHIRE DR, PO BOX 968, MOUNT VERNON, IL 628642156 (Tel: 6182428480)

👤

Provider Name / Credentials Updated February 07, 2008

Recorded as KEVIN CLAFFEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2008

Surgery

🔄

NPI Profile Reactivated July 01, 2005

Record officially reactivated for active practice on July 01, 2005

⚠️

NPI Profile Deactivated June 24, 2005

Record deactivated on June 24, 2005

🟢

Initial NPI Registration & Enumeration June 24, 2005

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: 1144226085

Entity Type:

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

Enumeration Date: June 24, 2005

Last Update: February 07, 2008

Deactivation Date: June 24, 2005

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4218 Lincolnshire Dr, Po Box 968

Mount Vernon, IL 628642156

Phone: 6182428480

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.