Active NPI 1659465813 Individual Practitioner Male Practitioner

Dr. James W. Thiele , MD

Colon & Rectal Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Thiele, MD is a certified Colon & Rectal Surgery practicing in Springfield, IL. With approximately 31 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1995, Dr. Thiele delivers high-quality medical care to the local community at 900 N. 1ST STREET.

Dr. Thiele is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, biopsy of large bowel using an endoscope, 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

900 N. 1st Street

Springfield, IL 627023749

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +6.1 yrs vs City Avg

City Avg: 24.9 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

13 Specialists

Practicing in Springfield, IL (99 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thiele (31 Years) 31 Yrs

Springfield Specialty Average (24.9 Years) 24.9 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	111	86	$58.97	$16.12
45380 Biopsy of large bowel using an endoscope	88	86	$1932.82	$140.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$584.44	$125.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	51	$2204.53	$248.14
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	50	49	$1597.00	$177.29
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$412.78	$86.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$769.69	$163.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	15	$196.67	$49.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$624.00	$129.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$519.07	$109.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1597.00	$183.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	97	97	$1923.95	$148.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	64	61	$2189.00	$240.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	48	$555.00	$124.21
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$382.00	$87.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$741.00	$159.76
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	40	40	$1597.00	$179.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$496.00	$105.88
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1597.00	$177.28
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1597.00	$182.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	109	108	$1853.01	$140.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	65	63	$2189.00	$255.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$656.08	$165.56
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$345.49	$89.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	38	$495.38	$125.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	38	38	$1597.00	$175.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$468.67	$110.76
91120 Testing of tone and sensation of rectum and anus	20	16	$1552.00	$130.37
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	20	16	$557.60	$35.14
91122 Study of rectum sensitivity and function	20	16	$515.00	$105.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$1597.00	$180.63
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1597.00	$174.10
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	13	12	$685.77	$55.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	106	105	$1830.31	$147.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	66	64	$2189.00	$254.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$615.00	$165.86
99213 Established patient office or other outpatient visit, typically 15 minutes	57	48	$317.00	$89.99
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	41	41	$1597.00	$181.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$441.00	$110.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	28	$461.00	$126.98
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1597.00	$178.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$646.00	$179.22
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	12	12	$675.00	$55.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	113	113	$1826.00	$160.62
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$294.00	$73.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$409.00	$106.81
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$2189.00	$264.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$570.00	$161.48
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	36	36	$1597.00	$189.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$427.00	$107.45
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$1597.00	$173.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$1597.00	$193.33
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	19	18	$675.00	$54.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$197.00	$44.75
91122 Study of rectum sensitivity and function	16	12	$652.00	$129.65
91120 Testing of tone and sensation of rectum and anus	16	12	$1523.75	$215.38
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	12	$630.75	$39.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	152	151	$570.41	$157.71
99213 Established patient office or other outpatient visit, typically 15 minutes	84	70	$105.04	$72.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	78	77	$734.00	$262.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$225.97	$162.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	46	$202.85	$106.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$181.48	$106.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$547.26	$188.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$47.94	$43.80
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$119.46	$72.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	21	$802.05	$184.18
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$676.53	$177.85
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	16	16	$335.11	$57.57
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	13	11	$327.81	$151.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	151	151	$467.25	$158.92
99213 Established patient office or other outpatient visit, typically 15 minutes	85	76	$83.69	$68.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	64	$48.01	$41.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	66	66	$482.94	$257.72
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$79.84	$72.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$127.96	$101.27
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	35	$338.96	$184.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	28	28	$339.45	$171.01
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$396.61	$178.29
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	22	22	$177.31	$57.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$176.59	$160.60
36415 Insertion of needle into vein for collection of blood sample	14	12	$3.14	$2.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$114.74	$104.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	138	137	$430.09	$129.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	108	$47.42	$41.35
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	106	103	$488.34	$258.42
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$79.74	$72.07
99213 Established patient office or other outpatient visit, typically 15 minutes	52	49	$81.27	$68.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$118.38	$103.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	46	46	$444.31	$177.59
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	36	36	$338.04	$186.49
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$339.01	$184.23
36415 Insertion of needle into vein for collection of blood sample	20	14	$3.20	$2.84
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	17	17	$174.19	$53.49
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	13	11	$174.19	$157.67

Medical Specialties & State Licenses

CMS Verified: 2020-05-19

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License IL 036-102649

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

036102649 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

900 N 1st St, Springfield, IL 627023749

Phone: 2175287541

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864

Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546

Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

Barbara Wolfson , LCPC

Counselor

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2014

Registered at 900 N. 1ST STREET, SPRINGFIELD, IL 627023749 (Tel: 2175287541)

📍

Updated Business Mailing Address August 21, 2014

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated August 21, 2014

Recorded as JAMES THIELE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Colon & Rectal Surgery (License #036-102649 in IL)

🟢

Initial NPI Registration & Enumeration October 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: 1659465813

Entity Type:

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

Enumeration Date: October 03, 2006

Last Update: May 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

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.