Active NPI 1437158326 Individual Practitioner Male Practitioner

Dr. Scott A Seymour , MD

Orthopaedic Surgery • Riverside, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Scott Seymour, MD is a certified Orthopaedic Surgery practicing in Riverside, IL. With approximately 40 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1986, Dr. Seymour delivers high-quality medical care to the local community at 353 E BURLINGTON ST.

Dr. Seymour is affiliated with Midland Orthopedic Associates Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, established 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

353 E Burlington St
Ste 100

Riverside, IL 605462082

Telephone 7084420221

Fax 7084425670

Associated Practice Facility / Clinic

🏢 Orthopaedic Associates Of Riverside, Pllc Facility NPI 1952469454

Medicare Profile & Education

Medical School

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

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Riverside, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +5.3 yrs vs City Avg

City Avg: 34.7 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Riverside, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Seymour (40 Years) 40 Yrs

Riverside Specialty Average (34.7 Years) 34.7 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	928	126	$23.88	$1.00
20610 Aspiration and/or injection of fluid from large joint	240	144	$279.45	$78.26
99213 Established patient office or other outpatient visit, typically 15 minutes	209	155	$157.37	$94.07
73562 X-ray of knee, 3 views	159	98	$154.28	$41.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	105	$115.33	$58.23
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	65	42	$3698.46	$672.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$298.31	$116.35
73502 X-ray of hip, 2-3 views	58	33	$166.03	$48.34
27447 Replacement of knee joint, both sides of knee	36	34	$8024.72	$1406.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	32	$100.00	$23.50
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	28	28	$750.00	$174.88
73030 X-ray of shoulder, minimum of 2 views	23	16	$174.04	$35.56
20985 Computer-assisted surgery for muscle and bone procedure	22	21	$574.09	$157.98
27130 Replacement of thigh bone and hip joint with prosthesis	14	12	$8652.86	$1407.24
73560 X-ray of knee, 1-2 views	13	11	$154.00	$35.08
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$177.69	$40.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,135	156	$25.00	$1.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	332	220	$115.00	$57.57
73562 X-ray of knee, 3 views	304	172	$160.00	$41.42
20610 Aspiration and/or injection of fluid from large joint	277	176	$280.23	$76.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	112	85	$100.00	$23.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$300.00	$115.89
73502 X-ray of hip, 2-3 views	79	53	$175.00	$47.87
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	70	48	$4000.00	$700.51
73030 X-ray of shoulder, minimum of 2 views	39	31	$183.00	$35.41
27447 Replacement of knee joint, both sides of knee	37	36	$9275.00	$1386.33
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	36	35	$750.00	$170.15
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$150.00	$91.82
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	26	20	$150.00	$52.61
72100 X-ray of lower and sacral spine, 2-3 views	21	20	$185.00	$40.77
72170 X-ray of pelvis, 1-2 views	19	18	$153.00	$28.68
73130 X-ray of hand, minimum of 3 views	14	11	$145.00	$37.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,159	177	$25.00	$1.14
73562 X-ray of knee, 3 views	387	227	$160.00	$44.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	328	227	$115.00	$60.52
20610 Aspiration and/or injection of fluid from large joint	282	194	$287.23	$78.64
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	148	112	$100.00	$24.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$300.00	$120.48
73502 X-ray of hip, 2-3 views	89	57	$175.00	$50.33
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	60	58	$750.00	$175.87
73030 X-ray of shoulder, minimum of 2 views	55	37	$183.00	$37.17
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	52	41	$4000.00	$759.98
27447 Replacement of knee joint, both sides of knee	51	49	$9275.00	$1448.99
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	39	24	$150.00	$56.39
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$150.00	$96.42
72170 X-ray of pelvis, 1-2 views	21	19	$153.00	$29.03
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$185.00	$42.93
73130 X-ray of hand, minimum of 3 views	17	12	$145.00	$39.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,200	156	$25.00	$1.28
73562 X-ray of knee, 3 views	409	214	$160.00	$43.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	316	207	$115.00	$60.02
20610 Aspiration and/or injection of fluid from large joint	309	190	$291.26	$81.14
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	309	11	$76.00	$24.52
97140 Therapy procedure using manual technique, each 15 minutes	194	11	$68.00	$22.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	147	112	$100.00	$24.12
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	110	71	$4036.36	$754.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$300.00	$120.83
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	94	50	$150.00	$56.41
73502 X-ray of hip, 2-3 views	84	56	$175.00	$49.87
27447 Replacement of knee joint, both sides of knee	52	48	$9275.00	$1468.21
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$150.00	$97.92
20985 Computer-assisted surgery for muscle and bone procedure	44	42	$750.00	$166.16
73030 X-ray of shoulder, minimum of 2 views	44	36	$183.00	$36.80
72100 X-ray of lower and sacral spine, 2-3 views	27	27	$185.00	$42.58
72170 X-ray of pelvis, 1-2 views	21	19	$153.00	$29.89
73130 X-ray of hand, minimum of 3 views	19	13	$145.00	$39.00
0055T Musculoskeletal surgical navigational orthopedic operation using imaging guidance	14	14	$750.00	$177.90
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$200.00	$78.75
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$9620.00	$1432.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,285	174	$25.31	$1.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	340	224	$115.00	$48.94
73562 X-ray of knee, 3 views	330	194	$160.00	$41.59
20610 Aspiration and/or injection of fluid from large joint	321	198	$295.23	$78.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	110	93	$100.00	$24.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$300.00	$115.91
73502 X-ray of hip, 2-3 views	93	63	$175.00	$47.89
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	89	64	$4404.49	$746.95
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	67	38	$150.00	$56.97
73030 X-ray of shoulder, minimum of 2 views	48	41	$183.00	$35.26
72100 X-ray of lower and sacral spine, 2-3 views	31	30	$185.00	$40.43
27447 Replacement of knee joint, both sides of knee	27	26	$9275.00	$1566.55
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$150.00	$80.32
20985 Computer-assisted surgery for muscle and bone procedure	25	25	$750.00	$171.06
73130 X-ray of hand, minimum of 3 views	17	13	$145.00	$37.14
72170 X-ray of pelvis, 1-2 views	17	16	$153.00	$30.36
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$9620.00	$1569.29
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$300.00	$111.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,246	171	$25.00	$1.58
73562 X-ray of knee, 3 views	449	251	$160.00	$38.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	364	244	$115.00	$47.36
20610 Aspiration and/or injection of fluid from large joint	357	208	$274.79	$70.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	133	111	$100.00	$23.66
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	122	12	$76.00	$25.47
73502 X-ray of hip, 2-3 views	116	79	$175.00	$42.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$300.00	$115.23
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	99	67	$3636.36	$1196.03
97140 Therapy procedure using manual technique, each 15 minutes	89	11	$68.00	$22.49
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	57	56	$150.00	$55.98
27447 Replacement of knee joint, both sides of knee	51	46	$9311.37	$1541.35
99213 Established patient office or other outpatient visit, typically 15 minutes	46	45	$150.00	$78.05
73030 X-ray of shoulder, minimum of 2 views	38	32	$183.00	$30.54
72100 X-ray of lower and sacral spine, 2-3 views	26	26	$185.00	$38.26
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$300.00	$109.15
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$9620.00	$1542.08
20985 Computer-assisted surgery for muscle and bone procedure	15	15	$750.00	$168.70
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$200.00	$80.71
72170 X-ray of pelvis, 1-2 views	11	11	$153.00	$34.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,126	148	$25.00	$1.79
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	449	23	$76.00	$24.80
20610 Aspiration and/or injection of fluid from large joint	439	194	$225.51	$56.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	397	259	$115.00	$44.95
73562 X-ray of knee, 3 views	389	218	$160.00	$36.35
97140 Therapy procedure using manual technique, each 15 minutes	274	22	$68.00	$21.76
97530 Therapy procedure using functional activities	214	20	$77.00	$39.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	111	97	$100.00	$21.85
73502 X-ray of hip, 2-3 views	109	75	$175.00	$41.80
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	104	70	$3000.00	$795.21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	88	13	$73.00	$29.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$300.00	$111.90
73030 X-ray of shoulder, minimum of 2 views	51	36	$183.00	$30.00
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$150.00	$74.72
27447 Replacement of knee joint, both sides of knee	39	35	$9275.00	$1493.54
72100 X-ray of lower and sacral spine, 2-3 views	39	39	$185.00	$35.68
J1040 Injection, methylprednisolone acetate, 80 mg	37	27	$35.00	$12.82
99221 Initial hospital inpatient care per day, typically 30 minutes	35	33	$300.00	$106.08
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	27	$150.00	$54.94
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$9620.00	$1495.27
72170 X-ray of pelvis, 1-2 views	14	14	$153.00	$32.51

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	434	21	$76.00	$27.84
20610 Aspiration and/or injection of fluid from large joint	412	193	$225.55	$58.02
73562 X-ray of knee, 3 views	379	212	$160.00	$37.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	352	237	$115.00	$45.88
97140 Therapy procedure using manual technique, each 15 minutes	326	21	$68.00	$23.58
J1040 Injection, methylprednisolone acetate, 80 mg	246	138	$35.28	$11.07
97530 Therapy procedure using functional activities	168	20	$77.00	$34.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$300.00	$115.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	119	99	$100.00	$21.04
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	98	14	$73.00	$30.05
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	97	63	$3000.00	$865.54
73502 X-ray of hip, 2-3 views	74	62	$175.00	$42.92
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$150.00	$77.00
27447 Replacement of knee joint, both sides of knee	50	47	$9506.88	$1558.72
73030 X-ray of shoulder, minimum of 2 views	41	33	$183.00	$30.53
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$300.00	$109.76
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	28	$150.00	$56.70
72100 X-ray of lower and sacral spine, 2-3 views	28	27	$185.00	$36.75
J1030 Injection, methylprednisolone acetate, 40 mg	26	24	$20.00	$5.69
73110 X-ray of wrist, minimum of 3 views	20	14	$162.00	$37.15
73501 X-ray of hip with pelvis, 1 view	20	20	$145.00	$29.21
73521 X-ray of both hips, 2 views	16	15	$205.00	$41.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	12	$165.00	$76.43
72170 X-ray of pelvis, 1-2 views	12	11	$153.00	$33.53
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$200.00	$79.37
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$6159.00	$1402.46
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$9838.64	$1546.52

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036077172

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

036077172 (IL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

01633451 (IL)

Commercial Insurance / Payer ID Railroad Medicare

P00061395 (IL)

Commercial Insurance / Payer ID Us Department Of Labor

123175300 (IL)

Hospital & Practice Group Affiliations

Midland Orthopedic Associates Pllc

2850 S Wabash Ave, Chicago, IL 606162491

Phone: 3128424600

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Michael Hejna , MD, PhD

Orthopaedic Surgery

NPI 1013913573

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Nicolas Anderson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1124179817

Doctor of Podiatric Medicine

Themistocles Raftis , PT

Physical Therapist

NPI 1336259068

Physical Therapist

Alan Moses , PA-C

Physician Assistant - Surgical

NPI 1417058934

Physician Assistant (Certified)

Jennifer Kang

Physician Assistant - Surgical

NPI 1912307448

Dr. Erling Ho , MD

Orthopaedic Surgery

NPI 1952381865

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 605462082 (Tel: 7084420221)

📍

Updated Business Mailing Address July 08, 2007

Registered at 353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 605462082 (Tel: 7084420221)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SCOTT SEYMOUR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #036077172 in IL)

🟢

Initial NPI Registration & Enumeration July 21, 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: 1437158326

Entity Type:

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

Enumeration Date: July 21, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

353 E Burlington St, Ste 100

Riverside, IL 605462082

Phone: 7084420221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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