Active NPI 1770531956 Individual Practitioner Male Practitioner

Dr. James C Clanahan , MD

Surgery • Shiloh, IL

Professional Overview & Biography Verified Profile Summary

Dr. James Clanahan, MD is a registered healthcare professional specializing in Surgery in Shiloh, IL. Practice services are available at 1414 CROSS STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of breast and placement of locating device using ultrasound, first growth. 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

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shiloh, IL

Active Practitioner

Practitioner Clinical Experience

Active

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

84.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	51	$145.00	$52.35
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$240.00	$82.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$445.00	$160.74
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	17	$1650.00	$147.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$340.00	$119.41
19081 Biopsy of breast accessed through the skin with stereotactic guidance	12	12	$1700.00	$145.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	38	$145.00	$54.75
99213 Established patient office or other outpatient visit, typically 15 minutes	44	38	$240.00	$85.77
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	31	31	$1650.00	$143.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$340.00	$125.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$408.70	$165.62
19081 Biopsy of breast accessed through the skin with stereotactic guidance	16	16	$1700.00	$166.14
19301 Partial removal of breast	15	13	$1900.00	$702.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	126	$145.00	$55.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$354.01	$168.01
99213 Established patient office or other outpatient visit, typically 15 minutes	76	73	$240.00	$89.16
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	65	65	$1650.00	$159.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$340.00	$121.35
19081 Biopsy of breast accessed through the skin with stereotactic guidance	30	30	$1700.00	$170.29
19084 Biopsy of breast and placement of locating device using ultrasound, each additional growth	21	14	$1325.00	$79.45
19301 Partial removal of breast	17	17	$2011.76	$719.06
38900 Lymph node imaging during surgery	13	13	$400.00	$145.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	146	$184.94	$89.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	99	$113.95	$55.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$350.00	$169.99
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	88	88	$1650.00	$158.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$280.60	$122.73
19301 Partial removal of breast	41	36	$1946.34	$729.27
19084 Biopsy of breast and placement of locating device using ultrasound, each additional growth	31	20	$1325.00	$81.18
19081 Biopsy of breast accessed through the skin with stereotactic guidance	30	29	$1700.00	$169.73
38900 Lymph node imaging during surgery	28	28	$400.00	$152.98
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	27	27	$1296.30	$252.48
38505 Needle biopsy or removal of surface lymph nodes	21	21	$350.00	$46.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	220	182	$160.00	$70.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	115	$100.00	$43.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$350.00	$161.47
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	88	86	$1650.00	$159.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$250.00	$97.95
99354 Prolonged office or other outpatient service first hour	32	32	$180.00	$123.32
38900 Lymph node imaging during surgery	31	31	$400.00	$151.91
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	31	31	$1250.00	$240.49
19301 Partial removal of breast	29	26	$1887.93	$703.35
19081 Biopsy of breast accessed through the skin with stereotactic guidance	23	23	$1700.00	$171.74
19084 Biopsy of breast and placement of locating device using ultrasound, each additional growth	16	14	$1325.00	$79.69
38505 Needle biopsy or removal of surface lymph nodes	16	16	$350.00	$46.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	276	220	$160.00	$73.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	197	147	$100.00	$44.31
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	102	99	$1650.00	$163.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$351.69	$162.90
99354 Prolonged office or other outpatient service first hour	48	47	$180.00	$123.89
19081 Biopsy of breast accessed through the skin with stereotactic guidance	33	33	$1700.00	$174.76
19301 Partial removal of breast	32	28	$1907.81	$724.23
38900 Lymph node imaging during surgery	28	28	$400.00	$156.40
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	27	$1294.64	$274.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$250.00	$106.24
19084 Biopsy of breast and placement of locating device using ultrasound, each additional growth	21	19	$1325.00	$84.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$240.00	$108.99
19120 Removal of 1 or more breast growth, open procedure	14	13	$1446.43	$451.20
36590 Removal of peripheral venous catheter for infusion	12	12	$700.00	$205.47
38505 Needle biopsy or removal of surface lymph nodes	11	11	$350.00	$51.46
19125 Removal of breast growth, open procedure	11	11	$1500.00	$465.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	250	$160.00	$67.39
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	130	129	$1650.00	$148.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	103	$100.00	$40.77
99354 Prolonged office or other outpatient service first hour	62	61	$180.00	$122.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$350.00	$153.05
19301 Partial removal of breast	47	45	$1850.00	$660.96
38900 Lymph node imaging during surgery	43	43	$409.30	$145.14
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	39	39	$1147.44	$228.94
19081 Biopsy of breast accessed through the skin with stereotactic guidance	36	36	$1700.00	$159.96
19084 Biopsy of breast and placement of locating device using ultrasound, each additional growth	33	26	$1325.00	$78.51
38505 Needle biopsy or removal of surface lymph nodes	25	25	$364.00	$47.27
19125 Removal of breast growth, open procedure	25	25	$1224.00	$468.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$250.00	$100.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$215.00	$30.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$240.00	$101.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2500.00	$336.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	395	275	$160.00	$68.56
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	106	104	$1650.00	$157.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	84	$100.00	$40.99
99354 Prolonged office or other outpatient service first hour	64	64	$180.00	$122.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$352.27	$155.12
38900 Lymph node imaging during surgery	53	52	$407.55	$150.56
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	50	49	$1122.00	$230.18
19301 Partial removal of breast	47	43	$1763.83	$672.19
19081 Biopsy of breast accessed through the skin with stereotactic guidance	39	36	$1700.00	$165.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$250.00	$101.80
19125 Removal of breast growth, open procedure	29	29	$1200.00	$476.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$243.54	$101.89
19084 Biopsy of breast and placement of locating device using ultrasound, each additional growth	19	15	$1325.00	$79.94
19303 Total removal of breast	16	16	$2390.63	$1124.93
38505 Needle biopsy or removal of surface lymph nodes	15	15	$350.00	$39.86
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2500.00	$315.94
36590 Removal of peripheral venous catheter for infusion	12	12	$700.00	$196.88
19000 Aspiration of breast cyst	11	11	$215.00	$28.35

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036076994

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

036076994 (IL)

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

10 Historical Events

📍

Updated Practice Location March 21, 2024

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

📍

Updated Business Mailing Address March 21, 2024

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

👤

Provider Name / Credentials Updated March 21, 2024

Recorded as JAMES CLANAHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2024

Surgery (License #036076994 in IL)

✅

NPI Profile Active October 17, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2007

Registered at 340 W LINCOLN ST, SUITE 500, BELLEVILLE, IL 622201900 (Tel: 6182777400)

📍

Updated Business Mailing Address October 17, 2007

Registered at 340 W LINCOLN ST, SUITE 500, BELLEVILLE, IL 622201900 (Tel: 6182777400)

👤

Provider Name / Credentials Updated October 17, 2007

Recorded as JAMES CLANAHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 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: 1770531956

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: March 21, 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.