Active NPI 1689872905 Individual Practitioner Male Practitioner

Dr. Paul Evan Pacheco , MD

Colon & Rectal Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Pacheco, MD is a certified Colon & Rectal Surgery practicing in Springfield, IL. With approximately 21 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2005, Dr. Pacheco delivers high-quality medical care to the local community at 900 N 1ST ST.

Dr. Pacheco 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, new 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 St

Springfield, IL 627023749

Telephone 2175287541

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2005

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

21 Yrs -3.9 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

88.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pacheco (21 Years) 21 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	77	69	$57.45	$15.95
45380 Biopsy of large bowel using an endoscope	69	69	$1947.92	$147.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$768.91	$160.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	46	45	$2244.08	$250.06
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$413.17	$87.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$198.24	$49.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$1633.33	$179.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$624.00	$123.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$582.42	$125.45
36415 Insertion of needle into vein for collection of blood sample	17	16	$8.47	$8.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$354.00	$75.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1710.88	$81.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$516.47	$109.89
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1597.00	$145.45
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1651.33	$157.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	76	76	$1944.25	$127.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	60	$2252.85	$247.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$741.00	$163.80
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$382.00	$85.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$555.00	$124.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$1627.71	$180.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$1696.00	$80.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$624.00	$129.03
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1620.49	$168.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$496.00	$110.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	99	99	$1855.74	$157.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$666.02	$166.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	59	$489.37	$126.46
99213 Established patient office or other outpatient visit, typically 15 minutes	53	40	$346.66	$89.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$2201.73	$246.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$624.00	$133.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	15	$178.00	$38.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$459.48	$111.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$1597.00	$171.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$1670.65	$82.22
45331 Biopsy of lower large bowel using a flexible endoscope	13	12	$992.69	$65.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$681.73	$180.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	73	73	$1826.00	$184.24
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	$165.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$460.49	$128.34
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$317.00	$90.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$624.00	$135.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$178.00	$38.17
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$1597.00	$185.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$441.00	$110.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$2212.79	$257.29
45331 Biopsy of lower large bowel using a flexible endoscope	14	13	$985.00	$70.14
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1597.00	$172.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	75	75	$1826.00	$161.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$570.00	$162.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$427.00	$105.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$2189.00	$256.87
99213 Established patient office or other outpatient visit, typically 15 minutes	35	28	$294.00	$74.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$619.00	$140.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$178.00	$40.11
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$1597.00	$174.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$409.00	$106.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	104	103	$629.43	$174.68
99213 Established patient office or other outpatient visit, typically 15 minutes	75	64	$107.46	$72.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$144.92	$106.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	25	$82.39	$39.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$169.84	$106.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$281.80	$153.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$695.12	$254.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$231.89	$137.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$486.16	$187.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$74.24	$43.81
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$660.09	$184.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	115	115	$479.30	$178.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$119.19	$103.72
99213 Established patient office or other outpatient visit, typically 15 minutes	61	49	$80.40	$70.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	38	$46.46	$42.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	19	$42.69	$38.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$610.65	$246.27
36415 Insertion of needle into vein for collection of blood sample	25	23	$3.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$148.73	$135.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$338.96	$173.14
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	$160.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$114.74	$96.96
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$339.45	$190.48
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$339.45	$191.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	103	103	$466.99	$167.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	56	$46.20	$41.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	32	$53.62	$37.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$121.49	$102.45
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$77.96	$70.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	42	42	$456.25	$257.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$176.26	$131.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$120.10	$99.17
36415 Insertion of needle into vein for collection of blood sample	21	18	$3.00	$2.94
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$84.75	$70.24
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	16	$410.24	$184.40
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$414.70	$180.34
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$540.03	$173.35

Medical Specialties & State Licenses

CMS Verified: 2020-05-21

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License IL 036127621

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036127621

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.

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 ST, 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 PAUL PACHECO, M.D.

🎓

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

Surgery (License #036127621 in IL)

🟢

Initial NPI Registration & Enumeration July 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Paul Pacheco. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1689872905

Entity Type:

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

Enumeration Date: July 08, 2007

Last Update: May 21, 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.