Active NPI 1487652400 Individual Practitioner Male Practitioner

Dr. Robert T Semba , MD

Orthopaedic Surgery • Palos Heights, IL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Semba, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Palos Heights, IL. Practice services are available at 7600 W COLLEGE DR under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, established patient outpatient office visit, 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

7600 W College Dr

Palos Heights, IL 604631001

Telephone 7083610600

Fax 7089232529

Associated Practice Facility / Clinic

🏢 Sudershan Saxena M.d.s.c. Facility NPI 1265413181

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Palos Heights, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.8 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Palos Heights, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	203	70	$104.40	$25.28
99213 Established patient office or other outpatient visit, typically 15 minutes	136	103	$185.12	$95.95
20610 Aspiration and/or injection of fluid from large joint	103	47	$317.00	$68.54
97530 Therapy procedure using functional activities	101	50	$90.52	$39.80
97140 Therapy procedure using manual technique, each 15 minutes	96	51	$92.00	$22.24
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	73	36	$102.00	$30.76
J1040 Injection, methylprednisolone acetate, 80 mg	49	36	$21.00	$10.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$268.77	$118.43
73564 X-ray of knee, 4 or more views	39	39	$200.00	$49.76
73502 X-ray of hip, 2-3 views	35	27	$177.00	$48.33
73562 X-ray of knee, 3 views	34	22	$169.00	$40.99
73030 X-ray of shoulder, minimum of 2 views	23	19	$180.00	$35.98
99221 Initial hospital inpatient care per day, typically 30 minutes	18	15	$281.00	$107.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$140.00	$40.27
73560 X-ray of knee, 1-2 views	16	15	$150.00	$35.47
97162 Evaluation for physical therapy, typically 30 minutes	11	11	$236.10	$99.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	779	178	$104.40	$26.22
97530 Therapy procedure using functional activities	447	137	$90.52	$39.36
97140 Therapy procedure using manual technique, each 15 minutes	361	136	$92.00	$23.24
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	327	115	$102.00	$31.13
99213 Established patient office or other outpatient visit, typically 15 minutes	324	210	$145.00	$80.60
20610 Aspiration and/or injection of fluid from large joint	165	84	$317.00	$67.02
J1040 Injection, methylprednisolone acetate, 80 mg	102	75	$21.00	$11.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$236.00	$115.12
73564 X-ray of knee, 4 or more views	85	81	$200.00	$46.66
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	80	34	$53.00	$10.93
73502 X-ray of hip, 2-3 views	78	57	$177.00	$48.19
73030 X-ray of shoulder, minimum of 2 views	69	54	$180.00	$35.68
73560 X-ray of knee, 1-2 views	58	39	$150.00	$36.13
97162 Evaluation for physical therapy, typically 30 minutes	58	57	$236.10	$91.82
73562 X-ray of knee, 3 views	57	36	$169.00	$42.30
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	45	13	$800.00	$132.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	39	$190.00	$77.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	29	$140.00	$42.21
27245 Treatment of broken neck of thigh bone with bone implant	29	29	$8744.00	$1383.90
73110 X-ray of wrist, minimum of 3 views	24	19	$151.00	$41.83
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	17	$7949.00	$1348.04
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$104.00	$56.78
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$187.00	$41.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,082	233	$96.90	$26.20
97530 Therapy procedure using functional activities	694	198	$88.50	$38.83
97140 Therapy procedure using manual technique, each 15 minutes	588	198	$87.78	$22.45
99213 Established patient office or other outpatient visit, typically 15 minutes	397	257	$145.00	$77.61
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	300	114	$99.23	$31.24
20610 Aspiration and/or injection of fluid from large joint	185	96	$317.00	$65.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$236.00	$112.19
J1040 Injection, methylprednisolone acetate, 80 mg	100	74	$21.00	$12.15
97162 Evaluation for physical therapy, typically 30 minutes	100	97	$239.02	$88.67
73564 X-ray of knee, 4 or more views	94	86	$200.00	$43.44
73502 X-ray of hip, 2-3 views	92	73	$177.00	$45.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	79	$188.53	$76.85
73030 X-ray of shoulder, minimum of 2 views	69	52	$180.00	$32.12
73562 X-ray of knee, 3 views	61	41	$169.00	$39.08
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	61	22	$795.00	$79.84
73560 X-ray of knee, 1-2 views	60	47	$150.00	$34.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	52	$140.00	$41.73
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	48	22	$53.00	$11.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	33	$104.00	$56.38
27245 Treatment of broken neck of thigh bone with bone implant	30	29	$8744.00	$1341.11
73110 X-ray of wrist, minimum of 3 views	29	18	$151.00	$38.92
97163 Evaluation for physical therapy, typically 45 minutes	26	26	$246.15	$86.64
76000 Imaging guidance for procedure, 60 minutes or less	24	24	$632.00	$16.66
27447 Replacement of knee joint, both sides of knee	24	24	$12246.00	$1519.61
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	23	23	$7949.00	$1314.31
73552 X-ray of thigh bone, minimum 2 views	21	12	$166.00	$35.51
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$26934.00	$1514.06
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$187.00	$38.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,315	193	$75.00	$26.68
97140 Therapy procedure using manual technique, each 15 minutes	437	151	$72.00	$22.49
99213 Established patient office or other outpatient visit, typically 15 minutes	377	267	$145.00	$76.18
20610 Aspiration and/or injection of fluid from large joint	181	90	$317.00	$64.22
97530 Therapy procedure using functional activities	166	79	$69.00	$41.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$236.00	$112.62
73502 X-ray of hip, 2-3 views	123	89	$177.00	$43.71
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	118	67	$70.00	$34.60
J1040 Injection, methylprednisolone acetate, 80 mg	107	71	$21.00	$12.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	92	$190.00	$76.49
73564 X-ray of knee, 4 or more views	88	86	$200.00	$40.78
97162 Evaluation for physical therapy, typically 30 minutes	66	63	$250.00	$87.96
73030 X-ray of shoulder, minimum of 2 views	64	46	$180.00	$30.69
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	63	20	$450.00	$144.05
73560 X-ray of knee, 1-2 views	48	41	$150.00	$32.96
73562 X-ray of knee, 3 views	48	36	$169.00	$37.81
27245 Treatment of broken neck of thigh bone with bone implant	47	45	$8744.00	$1352.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	40	$140.00	$41.31
73610 X-ray of ankle, minimum of 3 views	39	17	$157.00	$33.31
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	36	36	$7949.00	$1322.41
73110 X-ray of wrist, minimum of 3 views	36	24	$151.00	$37.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	28	$104.00	$56.58
76000 Imaging guidance for procedure, 60 minutes or less	23	23	$632.00	$9.43
27447 Replacement of knee joint, both sides of knee	20	20	$12246.00	$1453.60
73552 X-ray of thigh bone, minimum 2 views	18	15	$166.00	$34.83
73080 X-ray of elbow, minimum of 3 views	17	11	$159.00	$33.30
72100 X-ray of lower and sacral spine, 2-3 views	16	15	$187.00	$37.01
73552 X-ray of thigh bone, minimum 2 views	15	15	$166.00	$9.97
72170 X-ray of pelvis, 1-2 views	14	12	$175.00	$33.71
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$26934.00	$1512.51
73502 X-ray of hip, 2-3 views	13	13	$177.00	$11.78
25609 Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device	11	11	$4707.00	$1038.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,611	274	$75.00	$25.65
97140 Therapy procedure using manual technique, each 15 minutes	571	227	$72.00	$21.63
99213 Established patient office or other outpatient visit, typically 15 minutes	274	179	$145.00	$70.16
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	217	111	$70.00	$31.51
97530 Therapy procedure using functional activities	181	88	$69.00	$31.86
20610 Aspiration and/or injection of fluid from large joint	133	83	$319.38	$60.16
J1040 Injection, methylprednisolone acetate, 80 mg	116	81	$21.00	$10.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$236.00	$104.88
73110 X-ray of wrist, minimum of 3 views	70	34	$151.00	$33.77
73502 X-ray of hip, 2-3 views	66	55	$177.00	$39.51
97162 Evaluation for physical therapy, typically 30 minutes	64	62	$250.00	$78.86
73564 X-ray of knee, 4 or more views	64	63	$200.00	$37.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	57	$190.00	$69.56
76000 Imaging guidance for procedure, 60 minutes or less	57	56	$632.00	$8.68
73030 X-ray of shoulder, minimum of 2 views	50	35	$180.00	$27.56
73560 X-ray of knee, 1-2 views	50	40	$150.00	$30.02
73562 X-ray of knee, 3 views	44	25	$169.00	$34.93
27245 Treatment of broken neck of thigh bone with bone implant	38	38	$8744.00	$1254.94
97161 Evaluation of physical therapy, typically 20 minutes	35	35	$222.00	$78.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	31	$140.00	$38.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	25	$104.00	$52.07
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	25	12	$53.00	$9.88
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	24	24	$7949.00	$1218.81
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$187.00	$34.43
27447 Replacement of knee joint, both sides of knee	14	14	$12246.00	$1382.01
25609 Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device	14	14	$4707.00	$1054.28
73502 X-ray of hip, 2-3 views	11	11	$177.00	$10.84

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036075604

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.

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Henry Fuentes , MD

Orthopaedic Surgery - Sports Medicine

NPI 1043218050

Doctor of Medicine (M.D.)

Susan Ruda , RN, MS, APN, ONC

Clinical Nurse Specialist

NPI 1104824135

Registered Nurse, Master of Science, Advanced Practice Nurse, ONC

Nicholas Walters , PA-C

Physician Assistant

NPI 1144284449

Physician Assistant (Certified)

Dr. Russell Glantz , MD

Psychiatry & Neurology - Neurology

NPI 1235137233

Doctor of Medicine (M.D.)

Dr. Scott Price , MD

Orthopaedic Surgery

NPI 1285632232

Doctor of Medicine (M.D.)

Dr. Kevin Luke , MD

Orthopaedic Surgery

NPI 1437157443

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 November 07, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 07, 2007

Registered at 7600 W COLLEGE DR, PALOS HEIGHTS, IL 604631001 (Tel: 7083610600)

📍

Updated Business Mailing Address November 07, 2007

Registered at 7600 W COLLEGE DR, PALOS HEIGHTS, IL 604631001 (Tel: 7083610600)

👤

Provider Name / Credentials Updated November 07, 2007

Recorded as ROBERT SEMBA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2007

Orthopaedic Surgery (License #036075604 in IL)

🟢

Initial NPI Registration & Enumeration July 13, 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: 1487652400

Entity Type:

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

Enumeration Date: July 13, 2005

Last Update: November 07, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7600 W College Dr

Palos Heights, IL 604631001

Phone: 7083610600

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.