Active NPI 1467482828 Individual Practitioner Male Practitioner

Dr. Lawrence P Prabhakar , MD

Colon & Rectal Surgery • Rockford, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Prabhakar, MD is a certified Colon & Rectal Surgery practicing in Rockford, IL. With approximately 34 years of clinical experience since graduating from Mayo Medical School in 1992, Dr. Prabhakar delivers high-quality medical care to the local community at 5668 E STATE ST.

Dr. Prabhakar is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of external hemorrhoids by rubber banding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5668 E State St

Rockford, IL 611082464

Telephone 8152297580

Fax 8152297585

Associated Practice Facility / Clinic

🏢 Fredric C. Kullberg, M.d.s.c. Facility NPI 1447364740

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Rockford, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Rockford, IL (99 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prabhakar (34 Years) 34 Yrs

Rockford Specialty Average (34.0 Years) 34.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	63	49	$208.00	$84.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$285.00	$107.06
46221 Removal of external hemorrhoids by rubber banding	20	16	$1576.00	$265.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$129.00	$53.67
46600 Diagnostic examination of the anus using an endoscope	14	14	$654.00	$108.58
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	11	11	$312.00	$5.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	71	$200.00	$84.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$274.00	$108.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	19	$107.00	$48.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	14	$197.00	$77.30
46221 Removal of external hemorrhoids by rubber banding	25	23	$1533.00	$271.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$124.00	$54.06
46600 Diagnostic examination of the anus using an endoscope	20	20	$641.00	$112.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$374.00	$127.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$282.00	$122.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$410.00	$161.02
76536 Ultrasound of head and neck	11	11	$526.00	$77.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	58	$191.17	$87.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$264.48	$106.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$115.05	$53.86
46221 Removal of external hemorrhoids by rubber banding	29	22	$1471.14	$278.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$190.85	$69.31
46600 Diagnostic examination of the anus using an endoscope	25	25	$609.32	$116.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$399.20	$162.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$270.00	$123.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	70	$173.95	$88.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$258.17	$109.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	47	$114.00	$54.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	17	$187.49	$70.76
46221 Removal of external hemorrhoids by rubber banding	34	30	$1382.12	$280.23
46600 Diagnostic examination of the anus using an endoscope	30	30	$516.20	$116.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	11	$101.62	$37.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$386.86	$165.13
15860 Injection of agent into vein to assess blood flow of skin graft or flap	14	14	$506.57	$54.24
44140 Partial removal of large bowel	13	13	$6959.54	$1377.04
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	12	11	$255.33	$5.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	78	$161.71	$72.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	33	$186.20	$72.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$250.71	$105.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	49	$104.82	$44.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	31	$353.26	$138.07
46600 Diagnostic examination of the anus using an endoscope	28	28	$452.29	$99.38
46221 Removal of external hemorrhoids by rubber banding	22	19	$1306.86	$257.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$379.78	$161.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$488.45	$205.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	40	$180.37	$71.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	59	$97.94	$42.33
99213 Established patient office or other outpatient visit, typically 15 minutes	78	67	$154.15	$69.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$368.96	$160.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	28	$98.62	$38.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	42	$341.56	$135.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$239.25	$101.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$244.46	$103.18
46221 Removal of external hemorrhoids by rubber banding	31	23	$1249.10	$242.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$467.25	$190.26
46600 Diagnostic examination of the anus using an endoscope	23	23	$412.91	$91.15
99221 Initial hospital inpatient care per day, typically 30 minutes	17	14	$256.47	$100.67
15860 Injection of agent into vein to assess blood flow of skin graft or flap	15	14	$464.00	$62.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$362.86	$156.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	106	$234.87	$103.35
99213 Established patient office or other outpatient visit, typically 15 minutes	88	74	$149.44	$68.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	40	$174.87	$71.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$456.53	$191.86
46221 Removal of external hemorrhoids by rubber banding	41	31	$1207.00	$240.81
46600 Diagnostic examination of the anus using an endoscope	38	38	$392.63	$82.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$95.96	$36.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$95.15	$42.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$331.24	$135.62
44204 Partial removal of large bowel using an endoscope	18	18	$7236.25	$1584.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$490.00	$200.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$318.88	$141.37
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1415.31	$183.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	92	$142.43	$66.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$354.39	$152.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	73	$229.85	$99.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	31	$92.81	$37.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	40	$91.53	$40.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	22	$168.91	$68.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$230.00	$101.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$449.16	$190.55
46221 Removal of external hemorrhoids by rubber banding	34	30	$1163.59	$250.90
46600 Diagnostic examination of the anus using an endoscope	31	30	$379.19	$81.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$323.00	$131.14
44204 Partial removal of large bowel using an endoscope	17	17	$6812.07	$1459.99
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$1581.25	$179.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$476.60	$193.92
99238 Hospital discharge day management, 30 minutes or less	14	14	$169.43	$68.83
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	13	12	$675.00	$55.12
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$241.17	$97.57

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License IL 036098121

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036098121 (IL)

Medicaid State Provider ID

32473900 (WI)

Commercial Insurance / Payer ID Railroad Medicare

280000796

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

5666 E State St, Rockford, IL 611082425

Phone: 8159218929

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Jeffrey Barteau , MD

Surgery

NPI 1053344903

Doctor of Medicine (M.D.)

Dr. Amanda Macquoid , MD

Surgery - Surgical Critical Care

NPI 1194284174

Doctor of Medicine (M.D.)

Dr. Paige Burnia , MD

Surgery - Surgical Critical Care

NPI 1205491859

Doctor of Medicine (M.D.)

Dr. Mary Keller , MD

Surgery

NPI 1275567703

Doctor of Medicine (M.D.)

Victoria Mccoy , APRN, CNP

Nurse Practitioner - Family

NPI 1326408436

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Edward Pyun , MD

Surgery

NPI 1386748473

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 October 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2015

Registered at 5668 E STATE ST, ROCKFORD, IL 611082464 (Tel: 8152297580)

📍

Updated Business Mailing Address October 06, 2015

Registered at 5668 E STATE ST, ROCKFORD, IL 611082464 (Tel: 8152297580)

👤

Provider Name / Credentials Updated October 06, 2015

Recorded as LAWRENCE PRABHAKAR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Colon & Rectal Surgery (License #036098121 in IL)

🟢

Initial NPI Registration & Enumeration July 03, 2006

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: 1467482828

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: October 06, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5668 E State St

Rockford, IL 611082464

Phone: 8152297580

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.