Active NPI 1619925880 Individual Practitioner Male Practitioner

Dr. Donald Scott Crouch , MD

Surgery • Shiloh, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Crouch, MD is a certified Surgery practicing in Shiloh, IL. With approximately 29 years of clinical experience since graduating from Saint Louis University School Of Medicine in 1997, Dr. Crouch delivers high-quality medical care to the local community at 1414 CROSS ST STE 330.

Dr. Crouch maintains professional affiliations with Hshs Medical Group Inc, Lincoln Surgical Associates, Ltd. and accepts Medicare assignment.

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 St Ste 330

Shiloh, IL 62269

Telephone 6182777400

Fax 6182777422

Associated Practice Facility / Clinic

🏢 Lincoln Surgical Associates, Ltd. Facility NPI 1861706814

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shiloh, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +7.9 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

In-Person Office Visits Only

Medicare Pricing Discount

71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Crouch (29 Years) 29 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	135	64	$100.00	$47.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	66	$145.00	$52.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	71	$370.00	$124.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$445.00	$159.32
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$240.00	$85.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$340.00	$120.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$300.00	$106.44
49650 Repair of groin hernia using an endoscope	13	13	$2215.38	$489.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	176	78	$100.00	$49.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	56	$145.00	$55.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	53	$370.00	$131.32
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$240.00	$88.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$401.05	$163.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$268.70	$111.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$340.00	$125.75
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$280.00	$84.85
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$4500.00	$1026.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	183	70	$100.00	$39.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	63	$370.00	$136.70
99213 Established patient office or other outpatient visit, typically 15 minutes	58	46	$240.00	$89.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	42	$145.00	$56.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$358.16	$169.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$240.00	$113.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$340.00	$127.90
49650 Repair of groin hernia using an endoscope	17	17	$2329.41	$518.55
10005 Fine needle aspiration of first lesion using ultrasound guidance	11	11	$335.00	$76.94
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2600.00	$786.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	216	88	$100.00	$38.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	77	$370.00	$137.85
99213 Established patient office or other outpatient visit, typically 15 minutes	72	62	$200.00	$92.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$350.00	$171.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	43	$122.50	$55.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$281.94	$130.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$240.00	$114.16
49650 Repair of groin hernia using an endoscope	11	11	$1963.64	$471.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	249	101	$100.00	$39.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	87	86	$370.00	$137.30
99213 Established patient office or other outpatient visit, typically 15 minutes	57	44	$160.00	$72.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	32	$100.00	$38.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$350.00	$158.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$240.00	$105.70
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$257.94	$102.43
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2600.00	$775.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$250.00	$105.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	305	136	$100.00	$40.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	124	$370.00	$140.39
99213 Established patient office or other outpatient visit, typically 15 minutes	49	40	$160.00	$73.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$352.98	$162.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	31	$100.00	$44.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$250.00	$108.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$240.00	$108.82
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2600.00	$796.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	344	150	$100.00	$37.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	111	$270.18	$131.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	47	$100.00	$40.71
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$160.00	$68.15
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$155.00	$98.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	15	11	$860.00	$42.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$250.00	$100.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$350.00	$155.73
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2600.00	$741.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	297	117	$100.00	$38.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	100	$250.00	$133.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	42	$100.00	$40.37
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$160.00	$69.25
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$155.00	$99.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$350.00	$156.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$450.00	$196.66
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2600.00	$754.23

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036106785

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

036106785 (IL)

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

12866 Troxler Ave, Highland, IL 622492806

Phone: 6186512600

Hshs Medical Group Inc

12860 Troxler Ave, Highland, IL 622492806

Phone: 6186512810

Hshs Medical Group Inc

9515 Holy Cross Lane, Breese, IL 622303618

Phone: 6185264511

Hshs Medical Group Inc

1512 N Green Mount Rd, Ofallon, IL 622691953

Phone: 6186245510

Hshs Medical Group Inc

9409 Holy Cross Lane, Breese, IL 622303510

Phone: 6185268430

Lincoln Surgical Associates, Ltd.

1414 Cross St, Shiloh, IL 622692941

Phone: 6182777400

Secondary Practice Locations

3 Saint Elizabeth Blvd Ste 3900

O Fallon, IL 622691282

Phone: 6182343173

Practice Associates & Co-Workers

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

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Doctor of Osteopathic Medicine (D.O.)

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 24, 2019

Registered at 1414 CROSS ST STE 330, SHILOH, IL 62269 (Tel: 6182777400)

📍

Updated Business Mailing Address October 24, 2019

Registered at 1414 CROSS ST STE 330, SHILOH, IL 622692988 (Tel: 6182777400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2019

Surgery (License #036106785 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 340 W LINCOLN ST, SUITE500, BELLEVILLE, IL 622201900 (Tel: 6182777400)

📍

Updated Business Mailing Address July 08, 2007

Registered at 340 W LINCOLN ST, SUITE500, BELLEVILLE, IL 622201900 (Tel: 6182777400)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DONALD CROUCH, M.D.

🎓

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

Surgery

🟢

Initial NPI Registration & Enumeration May 04, 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: 1619925880

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: October 24, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1414 Cross St Ste 330

Shiloh, IL 622692988

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.