Active NPI 1891997110 Individual Practitioner Male Practitioner

Dr. Thomas Charles Kelly , MD

Otolaryngology • Normal, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Kelly, MD is a certified Otolaryngology practicing in Normal, IL. With approximately 22 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2004, Dr. Kelly delivers high-quality medical care to the local community at 207 LANDMARK DR.

Dr. Kelly is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 Landmark Dr
Suite A

Normal, IL 617613195

Telephone 3092683200

Associated Practice Facility / Clinic

🏢 Advocate Medical Group Facility NPI 1356449383

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Normal, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -11.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Normal, IL (502 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (22 Years) 22 Yrs

Normal Specialty Average (33.0 Years) 33.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	178	127	$208.00	$85.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$423.85	$159.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	41	$293.74	$122.57
31575 Diagnostic exam of voice box using a flexible endoscope	44	36	$715.23	$117.78
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	25	23	$1348.80	$205.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$285.00	$107.01
69210 Removal of impacted ear wax	18	16	$267.00	$42.06
31231 Diagnostic examination of nasal passages using an endoscope	17	15	$1039.00	$173.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	109	$200.00	$86.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$410.00	$160.92
31575 Diagnostic exam of voice box using a flexible endoscope	54	41	$682.00	$116.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$282.00	$122.82
92504 Exam of ear using a microscope	26	19	$157.00	$27.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$274.00	$104.90
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	12	11	$1520.08	$233.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	114	$191.97	$87.69
31575 Diagnostic exam of voice box using a flexible endoscope	60	36	$647.60	$122.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$398.63	$163.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	45	$271.91	$124.12
31231 Diagnostic examination of nasal passages using an endoscope	22	14	$970.00	$181.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$265.79	$108.43
92504 Exam of ear using a microscope	17	16	$151.82	$27.46
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	15	13	$1230.00	$215.11
69210 Removal of impacted ear wax	14	13	$241.29	$41.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	92	$174.00	$89.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$387.21	$165.13
31575 Diagnostic exam of voice box using a flexible endoscope	78	57	$604.04	$122.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	64	$266.00	$125.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$258.21	$110.07
69210 Removal of impacted ear wax	22	19	$158.09	$41.62
31231 Diagnostic examination of nasal passages using an endoscope	21	14	$938.67	$189.04
92504 Exam of ear using a microscope	13	12	$143.62	$28.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	107	$150.92	$72.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$359.70	$159.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	46	$221.65	$105.96
31575 Diagnostic exam of voice box using a flexible endoscope	37	36	$469.76	$118.54
31231 Diagnostic examination of nasal passages using an endoscope	28	23	$718.25	$176.42
69210 Removal of impacted ear wax	25	24	$129.84	$41.62
92504 Exam of ear using a microscope	22	11	$85.64	$27.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$249.62	$105.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	180	$146.00	$72.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	98	$213.00	$105.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$341.00	$159.96
31575 Diagnostic exam of voice box using a flexible endoscope	82	61	$403.00	$112.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$225.00	$105.97
69210 Removal of impacted ear wax	61	55	$126.00	$41.23
31231 Diagnostic examination of nasal passages using an endoscope	47	35	$650.00	$189.29
92504 Exam of ear using a microscope	36	27	$80.00	$27.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$102.00	$43.60
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	16	15	$908.25	$223.60

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	194	139	$201.62	$103.64
99213 Established patient office or other outpatient visit, typically 15 minutes	179	150	$142.38	$70.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$319.16	$160.11
31575 Diagnostic exam of voice box using a flexible endoscope	81	65	$390.16	$107.56
69210 Removal of impacted ear wax	60	55	$126.00	$42.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$213.98	$104.95
31231 Diagnostic examination of nasal passages using an endoscope	44	34	$650.00	$198.85
92504 Exam of ear using a microscope	31	24	$73.55	$27.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$99.50	$42.18

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	168	115	$189.00	$103.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$291.00	$159.42
99213 Established patient office or other outpatient visit, typically 15 minutes	123	102	$134.00	$70.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$190.00	$104.53
69210 Removal of impacted ear wax	65	60	$126.00	$44.98
31575 Diagnostic exam of voice box using a flexible endoscope	61	49	$383.00	$107.67
92504 Exam of ear using a microscope	36	28	$72.00	$27.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$92.00	$41.72
31231 Diagnostic examination of nasal passages using an endoscope	18	14	$650.00	$190.65
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	15	15	$830.40	$231.37
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	13	13	$136.00	$51.28

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License MI 4301084281

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

1765 Bradford Ln, Normal, IL 617611296

Phone: 3096612400

Practice Associates & Co-Workers

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

11 Associated Practitioners

Kelsey Freeman , PA

Physician Assistant

NPI 1093365678

Physician Assistant

Emily Schieler , APN

Nurse Practitioner - Family

NPI 1245752237

Advanced Practice Nurse

Dr. Courtney Parmley , AuD, CCC-A

Audiologist

NPI 1487070538

Doctor of Audiology, CCCA

Dr. Willard Noyes , MD

Otolaryngology

NPI 1518076926

Doctor of Medicine (M.D.)

Dr. Paige Wydola , AuD

Audiologist

NPI 1619405115

Doctor of Audiology

Dr. Jay Chauhan , DO

Otolaryngology

NPI 1639170731

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2012

Registered at 207 LANDMARK DR, SUITE A, NORMAL, IL 617613195 (Tel: 3092683200)

📍

Updated Business Mailing Address November 20, 2012

Registered at 701 LEE ST, SUITE 300, DES PLAINES, IL 600164539 (Tel: 8473905900)

👤

Provider Name / Credentials Updated November 20, 2012

Recorded as THOMAS KELLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2012

Otolaryngology (License #4301084281 in MI)

🟢

Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891997110

Entity Type:

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

Enumeration Date: May 31, 2007

Last Update: November 20, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Lee St, Suite 300

Des Plaines, IL 600164539

Phone: 8473905900

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.