Active NPI 1851320238 Individual Practitioner Male Practitioner

Dr. Thomas R. Rossi , MD

Surgery • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Rossi, MD is a registered healthcare professional specializing in Surgery in Peoria, IL. Practice services are available at 1001 MAIN STREET under active NPI credentials.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 Main Street
3rd Floor

Peoria, IL 616062037

Telephone 3094950200

Associated Practice Facility / Clinic

🏢 Peoria Surgical Group, Ltd. Facility NPI 1275542045

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.8 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

37 Specialists

Practicing in Peoria, IL (1624 Statewide)

Telehealth Adoption Rate

10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.8% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	22	$178.00	$38.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	20	$329.00	$70.84
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$326.00	$71.64
47562 Removal of gallbladder using an endoscope	11	11	$3855.00	$686.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$624.00	$134.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$473.00	$111.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	111	71	$178.00	$37.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	63	$329.00	$70.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$624.00	$134.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$461.00	$126.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$441.00	$106.73
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$326.00	$71.17
47562 Removal of gallbladder using an endoscope	13	13	$3855.00	$677.80
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$317.00	$89.26
45380 Biopsy of large bowel using an endoscope	13	13	$1826.00	$193.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	256	148	$148.55	$39.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	85	$526.49	$137.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	50	$302.11	$72.46
99221 Initial hospital inpatient care per day, typically 30 minutes	49	49	$297.14	$102.30
99238 Hospital discharge day management, 30 minutes or less	25	25	$253.64	$72.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$246.29	$102.11
47562 Removal of gallbladder using an endoscope	16	16	$3495.38	$689.23
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$177.64	$72.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$335.67	$105.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	400	214	$120.00	$38.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	93	$313.13	$132.85
99221 Initial hospital inpatient care per day, typically 30 minutes	55	54	$232.00	$98.86
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$113.00	$69.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	26	$165.00	$71.83
47562 Removal of gallbladder using an endoscope	28	28	$2896.00	$676.78
99238 Hospital discharge day management, 30 minutes or less	24	24	$159.00	$71.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$170.50	$105.13
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$137.00	$73.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$767.48	$135.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$189.00	$105.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1015.00	$181.71
45380 Biopsy of large bowel using an endoscope	11	11	$1114.84	$206.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	395	207	$120.00	$37.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	116	115	$313.00	$131.26
99238 Hospital discharge day management, 30 minutes or less	66	65	$159.00	$69.81
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$113.00	$66.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	34	$165.00	$65.27
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	32	32	$144.00	$5.37
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$232.45	$98.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$171.00	$101.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$875.00	$112.86
47562 Removal of gallbladder using an endoscope	21	21	$2896.00	$654.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$189.00	$101.76
45380 Biopsy of large bowel using an endoscope	16	16	$1182.00	$201.16
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$113.00	$40.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$37.80
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$137.00	$70.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	316	138	$119.92	$37.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	89	$313.00	$135.24
99213 Established patient office or other outpatient visit, typically 15 minutes	54	48	$113.00	$70.31
99238 Hospital discharge day management, 30 minutes or less	47	46	$159.00	$70.96
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	42	40	$144.00	$5.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	31	$165.00	$71.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$189.00	$95.00
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$137.00	$71.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$171.00	$103.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$912.47	$134.85
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$1015.00	$189.97
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$231.64	$100.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$389.07	$199.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$85.00	$41.65
45380 Biopsy of large bowel using an endoscope	14	14	$1173.71	$152.34
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$113.00	$42.20
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$770.00	$121.31
47562 Removal of gallbladder using an endoscope	12	12	$2866.85	$661.25
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1042.06	$190.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036065169

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036065169 (IL)

Commercial Insurance / Payer ID Bcbs

7215166 (IL)

Practice Associates & Co-Workers

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

24 Associated Practitioners

Dr. Andy Chiou , MD

Surgery - Vascular Surgery

NPI 1063454197

Doctor of Medicine (M.D.)

Dr. Julius Bonello , MD

Surgery

NPI 1093751257

Doctor of Medicine (M.D.)

Jamie Doubet , APN

Clinical Nurse Specialist

NPI 1124344023

Advanced Practice Nurse

Dr. Paul Siebert , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1154337236

Doctor of Medicine (M.D.)

Dr. Norman Estes , MD

Surgery

NPI 1205864170

Doctor of Medicine (M.D.)

Dr. Stephanie Cain , APN, DNP

Clinical Nurse Specialist

NPI 1255587812

Advanced Practice Nurse, Doctor of Nursing Practice

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2013

Registered at 1001 MAIN STREET, 3RD FLOOR, PEORIA, IL 616062037 (Tel: 3094950200)

📍

Updated Business Mailing Address January 03, 2013

Registered at 1001 MAIN STREET, SUITE 300, PEORIA, IL 61606 (Tel: 3094950200)

👤

Provider Name / Credentials Updated January 03, 2013

Recorded as THOMAS ROSSI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2013

Surgery (License #036065169 in IL)

🟢

Initial NPI Registration & Enumeration June 30, 2006

First registered as active Individual Practitioner in NPPES Database.

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Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851320238

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: January 03, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1001 Main Street, Suite 300

Peoria, IL 61606

Phone: 3094950200

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.