Active NPI 1699068767 Individual Practitioner Male Practitioner

Dr. Ziya Baghmanli , MD

Surgery • Red Bud, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ziya Baghmanli, MD is a certified Surgery practicing in Red Bud, IL. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Baghmanli delivers high-quality medical care to the local community at 325 SPRING STREET.

Dr. Baghmanli maintains professional affiliations with Sparta Community Hospital D/B/A Quality Healthcare Clinics, Red Bud Illinois Hospital Company Llc, Deaconess Illinois Red Bud Regional Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, diagnostic exam of large bowel 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

325 Spring Street

Red Bud, IL 62278

Telephone 6182823831

Fax 6182825476

Associated Practice Facility / Clinic

🏢 Red Bud Physician Group Llc Facility NPI 1053619148

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Red Bud, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -0.5 yrs vs City Avg

City Avg: 14.5 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Red Bud, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baghmanli (14 Years) 14 Yrs

Red Bud Specialty Average (14.5 Years) 14.5 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
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$652.93	$77.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$571.00	$190.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$702.00	$108.93
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$1113.44	$183.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$616.00	$99.30
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$1124.48	$170.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1390.85	$264.28
45380 Biopsy of large bowel using an endoscope	13	12	$1295.92	$193.26
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$417.17	$90.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$152.31	$67.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$871.15	$98.35
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1062.64	$160.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$219.00	$126.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$91.50	$37.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$224.71	$84.60
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.00	$88.30
47562 Removal of gallbladder using an endoscope	12	12	$1840.15	$733.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$340.73	$130.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$222.18	$102.73
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$772.82	$82.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	27	$912.84	$99.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$90.00	$25.47
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$154.00	$50.81
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$999.29	$175.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$219.00	$82.46
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.00	$53.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$134.59	$68.56
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$990.97	$198.50
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$151.19	$52.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$888.87	$97.97
99213 Established patient office or other outpatient visit, typically 15 minutes	22	15	$148.82	$51.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$218.36	$80.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1361.01	$267.14
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$753.33	$81.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$338.00	$133.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$85.54	$44.51
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$127.50	$73.68
47562 Removal of gallbladder using an endoscope	11	11	$1697.23	$665.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$99.00	$74.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$218.14	$77.85
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$150.26	$52.00
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$974.14	$190.85
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$142.56	$52.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$893.93	$121.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$738.64	$104.80
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$102.31	$72.61
45380 Biopsy of large bowel using an endoscope	11	11	$1191.09	$145.04

Medical Specialties & State Licenses

CMS Verified: 2026-05-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036.142899

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Red Bud Illinois Hospital Company Llc

325 Spring St, Red Bud, IL 622781105

Sparta Community Hospital D/b/a Quality Healthcare Clinics

211 S Burns Ave, Sparta, IL 622861895

Phone: 6184431303

Deaconess Illinois Red Bud Regional Hospital Inc

325 Spring St, Red Bud, IL 622781105

Phone: 6182827373

Memorial Hospital

1900 State St, Chester, IL 622331116

Phone: 6188264581

Secondary Practice Locations

818 E Broadway St

Sparta, IL 622861820

Phone: 6184431337

325 Spring St

Red Bud, IL 622781105

Phone: 4193836462

1300 N Market St

Sparta, IL 622861048

Phone: 6184431337

Practice Associates & Co-Workers

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

13 Associated Practitioners

Amber Harriman , PA

Physician Assistant

NPI 1033307996

Physician Assistant

Earl Draves , CRNA

Nurse Anesthetist, Certified Registered

NPI 1225032816

Certified Registered Nurse Anesthetist

Muriel Brumley , CCC-SLP

Speech-Language Pathologist

NPI 1295473494

Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Julie Kelley , MD

Family Medicine

NPI 1306980552

Doctor of Medicine (M.D.)

Mallory Butler , FNP

Nurse Practitioner - Family

NPI 1467803049

Family Nurse Practitioner

Dr. Adrian Bennett , DO

Hospitalist

NPI 1477086239

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Business Mailing Address May 29, 2026

Registered at 911 FORBES DR, WATERLOO, IL 622983173 (Tel: 7347093462)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2026

Student in an Organized Health Care Education/Training Program

📍

Updated Practice Location June 30, 2021

Registered at 325 SPRING STREET, RED BUD, IL 62278 (Tel: 6182823831)

📍

Updated Business Mailing Address June 30, 2021

Registered at 325 SPRING STREET, RED BUD, IL 62278 (Tel: 6182823831)

👤

Provider Name / Credentials Updated June 30, 2021

Recorded as ZIYA BAGHMANLI, M.D.

✅

NPI Profile Active June 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2017

Registered at 3000 ARLINGTON AVE, MS 1050, TOLEDO, OH 436142595 (Tel: 4193834244)

📍

Updated Business Mailing Address June 10, 2017

Registered at 3000 ARLINGTON AVE, MS 1050, TOLEDO, OH 436142595 (Tel: (419) 383-4244)

👤

Provider Name / Credentials Updated June 10, 2017

Recorded as ZIYA BAGHMANLI, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2017

Surgery (License #036.142899 in IL)

✅

NPI Profile Active May 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2012

Registered at 3000 ARLINGTON AVE, MS 1050, TOLEDO, OH 436142595 (Tel: 4193834244)

📍

Updated Business Mailing Address May 03, 2012

Registered at 3000 ARLINGTON AVE, MS 1050, TOLEDO, OH 436142595 (Tel: 4193834244)

👤

Provider Name / Credentials Updated May 03, 2012

Recorded as ZIYA BAGHMANLI, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 24, 2011

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: 1699068767

Entity Type:

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

Enumeration Date: May 24, 2011

Last Update: May 29, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

911 Forbes Dr

Waterloo, IL 622983173

Phone: 7347093462

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.