Active NPI 1437231057 Individual Practitioner Male Practitioner

Dr. Mark Cavalenes , MD

Orthopaedic Surgery • Oak Park, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Cavalenes, MD is a certified Orthopaedic Surgery practicing in Oak Park, IL. With approximately 49 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1977, Dr. Cavalenes delivers high-quality medical care to the local community at 1125 WESTGATE ST.

Dr. Cavalenes maintains professional affiliations with Genesis Orthopedics And Sports Medicine Llc, Dynamic Physical Therapy, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1125 Westgate St

Oak Park, IL 603011007

Telephone 7088487700

Fax 7088489375

Associated Practice Facility / Clinic

🏢 River Forest Medical Center Incorporated Facility NPI 1720138746

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Oak Park, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs Matches City Avg

City Avg: 49.0 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Oak Park, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cavalenes (49 Years) 49 Yrs

Oak Park Specialty Average (49.0 Years) 49.0 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	175	77	$284.13	$132.36
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	136	36	$16.00	$7.05
20610 Aspiration and/or injection of fluid from large joint	56	35	$395.00	$68.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$440.00	$174.87
73564 X-ray of knee, 4 or more views	21	21	$165.00	$48.04
73560 X-ray of knee, 1-2 views	13	12	$135.00	$34.99
73030 X-ray of shoulder, minimum of 2 views	13	12	$138.03	$35.69

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	142	62	$285.00	$133.38
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	98	33	$16.00	$6.52
20610 Aspiration and/or injection of fluid from large joint	42	28	$395.00	$68.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$440.00	$175.54
73564 X-ray of knee, 4 or more views	15	15	$165.00	$48.73

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	68	38	$285.00	$134.47
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	56	22	$16.00	$6.75
20610 Aspiration and/or injection of fluid from large joint	31	18	$395.00	$71.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$296.43	$121.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	43	$115.90	$97.03
J1030 Injection, methylprednisolone acetate, 40 mg	78	24	$40.00	$5.73
20610 Aspiration and/or injection of fluid from large joint	35	20	$224.29	$71.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$238.75	$181.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$233.85	$194.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	70	$95.00	$77.34
J1030 Injection, methylprednisolone acetate, 40 mg	140	36	$39.93	$6.03
20610 Aspiration and/or injection of fluid from large joint	60	29	$175.00	$66.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$200.00	$150.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$220.00	$171.64
73560 X-ray of knee, 1-2 views	22	16	$95.00	$34.15
73502 X-ray of hip, 2-3 views	17	13	$115.00	$46.20
73564 X-ray of knee, 4 or more views	16	12	$119.38	$44.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	11	$155.00	$111.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	320	113	$95.00	$75.72
J1030 Injection, methylprednisolone acetate, 40 mg	202	57	$40.00	$6.29
20610 Aspiration and/or injection of fluid from large joint	85	46	$175.00	$63.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$220.00	$169.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	35	$200.00	$148.42
73560 X-ray of knee, 1-2 views	37	33	$95.00	$33.00
73502 X-ray of hip, 2-3 views	30	20	$115.00	$43.45
73110 X-ray of wrist, minimum of 3 views	26	11	$130.00	$37.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$250.00	$207.46
73030 X-ray of shoulder, minimum of 2 views	18	15	$150.00	$30.63
73565 X-ray of both knees while standing	15	15	$115.00	$37.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	334	135	$95.00	$72.52
J1030 Injection, methylprednisolone acetate, 40 mg	257	75	$40.00	$6.68
20610 Aspiration and/or injection of fluid from large joint	118	67	$175.00	$61.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$220.00	$165.46
73560 X-ray of knee, 1-2 views	60	42	$95.00	$30.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	51	$155.00	$106.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	28	$250.00	$203.74
73502 X-ray of hip, 2-3 views	31	26	$115.00	$40.99
73565 X-ray of both knees while standing	24	24	$115.00	$35.36
73030 X-ray of shoulder, minimum of 2 views	19	13	$150.00	$29.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	428	167	$95.25	$72.06
J1030 Injection, methylprednisolone acetate, 40 mg	253	77	$40.00	$5.77
20610 Aspiration and/or injection of fluid from large joint	112	72	$175.00	$61.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$220.00	$163.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	49	$155.00	$105.70
73560 X-ray of knee, 1-2 views	45	40	$95.00	$30.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	36	$250.00	$202.15
73030 X-ray of shoulder, minimum of 2 views	35	26	$150.00	$28.57
73502 X-ray of hip, 2-3 views	34	28	$115.00	$40.56
73565 X-ray of both knees while standing	21	21	$115.00	$35.14
99234 Hospital observation or inpatient care low severity, 40 minutes per day	19	18	$250.00	$133.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$200.00	$144.37

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036057865

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036057865 (IL)

Hospital & Practice Group Affiliations

Genesis Orthopedics And Sports Medicine Llc

2900 Foxfield Rd, St Charles, IL 601745799

Phone: 6303771188

Dynamic Physical Therapy, Inc.

1049 Lake St, Oak Park, IL 603016708

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Edward Brackett , MD

Orthopaedic Surgery

NPI 1992884423

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2009

Registered at 1125 WESTGATE ST, OAK PARK, IL 603011007 (Tel: 7088487700)

📍

Updated Business Mailing Address February 17, 2009

Registered at 1125 WESTGATE ST, OAK PARK, IL 603011007 (Tel: 7088487700)

👤

Provider Name / Credentials Updated February 17, 2009

Recorded as MARK CAVALENES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2009

Orthopaedic Surgery (License #036057865 in IL)

🟢

Initial NPI Registration & Enumeration October 20, 2006

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 Dr. Mark Cavalenes. 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: 1437231057

Entity Type:

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

Enumeration Date: October 20, 2006

Last Update: February 17, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1125 Westgate St

Oak Park, IL 603011007

Phone: 7088487700

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.