Active NPI 1407397862 Individual Practitioner Female Practitioner

Kellsey R Thole , NP

Nurse Practitioner - Gerontology • O Fallon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellsey Thole, NP is a certified Nurse Practitioner - Gerontology practicing in O Fallon, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Kellsey Thole delivers high-quality medical care to the local community at THREE SAINT ELIZABETH BLVD STE 2800.

Kellsey Thole is affiliated with Prairie Cardiovascular Consultants Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

Three Saint Elizabeth Blvd Ste 2800

O Fallon, IL 622691282

Telephone 6182336044

Fax 8339734218

Associated Practice Facility / Clinic

🏢 Cardiology Consultants Ltd Facility NPI 1821015819

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in O Fallon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 9.0 Yrs

Regional Practice Density

1 Specialists

Practicing in O Fallon, IL (294 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thole (10 Years) 10 Yrs

O Fallon Specialty Average (10.0 Years) 10.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	637	546	$255.00	$109.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	83	$180.00	$69.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$355.00	$156.78
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$178.00	$77.78

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	723	607	$255.00	$107.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	64	$180.00	$68.79
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$173.31	$76.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$350.83	$152.81

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	487	431	$255.00	$109.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	63	$180.00	$62.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$345.00	$156.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$340.00	$118.42
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$170.00	$78.56

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	733	615	$255.00	$112.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	78	$180.00	$62.85
99213 Established patient office or other outpatient visit, typically 15 minutes	47	47	$170.00	$79.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$340.00	$119.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	16	$100.00	$33.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$345.00	$157.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$255.00	$87.78

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	608	526	$255.00	$94.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	109	$180.00	$63.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	37	$100.00	$34.94
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$170.00	$64.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$345.00	$127.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$340.00	$122.78

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	410	387	$255.00	$91.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	77	$180.00	$63.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	59	$100.00	$33.83
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$170.00	$62.77

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	288	255	$255.00	$91.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	81	$180.00	$61.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	101	80	$100.00	$34.01
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$170.00	$61.81
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$170.00	$44.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$340.00	$119.47

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	82	79	$255.00	$88.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	63	$100.00	$34.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	52	$180.00	$62.41
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$170.00	$61.60
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$170.00	$44.19

Medical Specialties & State Licenses

CMS Verified: 2021-12-20

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License IL 209.015758

Definition to come...

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License IL 209.015758

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Hospital & Practice Group Affiliations

Prairie Cardiovascular Consultants Ltd

3 Saint Elizabeth Blvd, O Fallon, IL 622691099

Phone: 6182336044

Practice Associates & Co-Workers

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

39 Associated Practitioners

Dr. Thomas Cahill , MD

Internal Medicine - Cardiovascular Disease

NPI 1023128113

Doctor of Medicine (M.D.)

Dr. Regina Chiu , MD

Internal Medicine - Cardiovascular Disease

NPI 1043272693

Doctor of Medicine (M.D.)

Lori Beth Helmers , APRN

Nurse Practitioner - Adult Health

NPI 1063457794

Advanced Practice Registered Nurse

Dr. Scott Marrus , MD

Internal Medicine - Cardiovascular Disease

NPI 1063578284

Doctor of Medicine (M.D.)

Dr. Vinaya Mulkareddy , MD

Internal Medicine - Cardiovascular Disease

NPI 1104207984

Doctor of Medicine (M.D.)

Dr. Roop Lal , MD

Internal Medicine - Cardiovascular Disease

NPI 1124059506

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location March 17, 2020

Registered at THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 622691282 (Tel: 6182336044)

📍

Updated Business Mailing Address March 17, 2020

Registered at THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 622691282 (Tel: 6182336044)

📍

Updated Practice Location September 24, 2019

Registered at 3 SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 622691282 (Tel: 6182336044)

📍

Updated Business Mailing Address September 24, 2019

Registered at 3 SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 622691282 (Tel: 6182336044)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

Internal Medicine (License #209.015758 in IL)

✅

NPI Profile Active March 17, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2017

Registered at 340 W LINCOLN ST, STE 400, BELLEVILLE, IL 622201900 (Tel: 6182336044)

📍

Updated Business Mailing Address March 17, 2017

Registered at 340 W LINCOLN ST, STE 400, BELLEVILLE, IL 622201900 (Tel: 6182336044)

👤

Provider Name / Credentials Updated March 17, 2017

Recorded as KELLSEY THOLE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2017

Nurse Practitioner (License #209.015758 in IL)

🟢

Initial NPI Registration & Enumeration March 17, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Kellsey Thole. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407397862

Entity Type:

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

Enumeration Date: March 17, 2017

Last Update: December 20, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Three Saint Elizabeth Blvd Ste 2800

O Fallon, IL 622691282

Phone: 6182336044

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.