Active NPI 1538540679 Individual Practitioner Male Practitioner

Dr. Matthew R Smith , DO

Surgery • Shiloh, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Smith, DO is a certified Surgery practicing in Shiloh, IL. With approximately 11 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2015, Dr. Smith delivers high-quality medical care to the local community at 1414 CROSS STREET.

Dr. Smith maintains professional affiliations with Hshs Medical Group Inc, Lincoln Surgical Associates, Ltd. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

1414 Cross Street
Suite 330

Shiloh, IL 622692998

Telephone 6182777400

Fax 6182777422

Associated Practice Facility / Clinic

🏢 Lincoln Surgical Group Facility NPI 1700962271

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shiloh, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -10.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Shiloh, IL (1624 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

82.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (11 Years) 11 Yrs

Shiloh Specialty Average (21.1 Years) 21.1 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	163	70	$100.00	$47.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	62	$145.00	$53.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	76	74	$370.00	$128.59
99213 Established patient office or other outpatient visit, typically 15 minutes	52	41	$240.00	$87.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$445.00	$164.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$340.00	$124.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	42	$975.00	$95.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$300.00	$109.33
91010 Study of esophagus to assess movement	18	18	$570.00	$59.92
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	18	18	$4500.00	$1488.32
43249 Balloon dilation of esophagus using an endoscope	18	14	$3030.00	$139.69
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	12	12	$1280.00	$75.05
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	11	11	$2933.64	$165.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	210	91	$100.00	$48.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	94	90	$370.00	$126.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	47	$145.00	$48.74
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$240.00	$83.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	41	$975.00	$99.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$416.62	$160.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$340.00	$122.20
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	18	18	$1280.00	$78.22
47562 Removal of gallbladder using an endoscope	12	12	$2400.00	$646.28
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$735.00	$69.30
91010 Study of esophagus to assess movement	11	11	$570.00	$60.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	157	74	$100.00	$39.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	76	$370.00	$138.69
99213 Established patient office or other outpatient visit, typically 15 minutes	56	47	$240.00	$92.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$357.22	$167.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	43	38	$975.00	$111.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$340.00	$126.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	26	$145.00	$52.61
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	15	12	$2584.00	$172.97
91010 Study of esophagus to assess movement	14	14	$570.00	$66.94
47562 Removal of gallbladder using an endoscope	14	14	$2400.00	$732.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$240.00	$114.96
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$4500.00	$1478.63
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	11	11	$1280.00	$83.87
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$735.00	$75.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	15	$100.00	$38.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$370.00	$134.09
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$241.50	$92.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$240.00	$114.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$975.00	$131.87

Medical Specialties & State Licenses

CMS Verified: 2020-10-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036157198

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA OS020766

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

103811031 (PA)

Commercial Insurance / Payer ID Caqh

14956575

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

9409 Holy Cross Lane, Breese, IL 622303510

Phone: 6185268430

Hshs Medical Group Inc

12866 Troxler Ave, Highland, IL 622492806

Phone: 6186512600

Lincoln Surgical Associates, Ltd.

1414 Cross St, Shiloh, IL 622692941

Phone: 6182777400

Hshs Medical Group Inc

1512 N Green Mount Rd, Ofallon, IL 622691953

Phone: 6186245510

Hshs Medical Group Inc

9515 Holy Cross Lane, Breese, IL 622303618

Phone: 6185264511

Hshs Medical Group Inc

12860 Troxler Ave, Highland, IL 622492806

Phone: 6186512810

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Deirdre Hart , MD

Colon & Rectal Surgery

NPI 1033408489

Doctor of Medicine (M.D.)

Dr. Paul Loethen , MD

Surgery

NPI 1053595538

Doctor of Medicine (M.D.)

Dr. Bernard Szopa , MD

Surgery

NPI 1164480877

Doctor of Medicine (M.D.)

Dr. Scott Schwiesow , MD

Surgery

NPI 1164834024

Doctor of Medicine (M.D.)

Dr. Michael Pulsipher , DO

Surgery

NPI 1366061731

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Luong , MD

Surgery

NPI 1376713826

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location March 20, 2024

Registered at 1414 CROSS STREET, SUITE 330, SHILOH, IL 622692998 (Tel: 6182777400)

📍

Updated Business Mailing Address March 20, 2024

Registered at 1414 CROSS STREET, SUITE 330, SHILOH, IL 622692998 (Tel: 6182777400)

👤

Provider Name / Credentials Updated October 07, 2020

Recorded as MATTHEW SMITH, DO

📍

Updated Practice Location August 28, 2020

Registered at 4815 LIBERTY AVE STE 439, PITTSBURGH, PA 152242156 (Tel: 7242607300)

📍

Updated Business Mailing Address August 28, 2020

Registered at 4815 LIBERTY AVE STE 439, PITTSBURGH, PA 152242156 (Tel: 7242607300)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

Surgery (License #OS020766 in PA)

✅

NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2016

Registered at 701 N 1ST ST STE D308, SPRINGFIELD, IL 627023757 (Tel: 2175454401)

📍

Updated Business Mailing Address January 12, 2016

Registered at PO BOX 19638, SPRINGFIELD, IL 627949638 (Tel: 2175454401)

👤

Provider Name / Credentials Updated January 12, 2016

Recorded as MATTHEW SMITH, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Surgery (License #125.066988 in IL)

🟢

Initial NPI Registration & Enumeration June 15, 2015

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: 1538540679

Entity Type:

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

Enumeration Date: June 15, 2015

Last Update: March 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1414 Cross Street, Suite 330

Shiloh, IL 622692998

Phone: 6182777400

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.