Active NPI 1699125062 Individual Practitioner Male Practitioner

Dr. Kenneth James Minielly , MD

Dermatology • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Minielly, MD is a certified Dermatology practicing in Springfield, IL. With approximately 6 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2020, Dr. Minielly delivers high-quality medical care to the local community at 751 N RUTLEDGE ST STE 2300.

Dr. Minielly is affiliated with Kentucky Skin Cancer Center Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

751 N Rutledge St Ste 2300

Springfield, IL 627024968

Telephone 2175458000

Fax 2175457438

Associated Practice Facility / Clinic

🏢 Siu Physicians & Surgeons, Inc Facility NPI 1790705507

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -13.1 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

36 Specialists

Practicing in Springfield, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Minielly (6 Years) 6 Yrs

Springfield Specialty Average (19.1 Years) 19.1 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
17003 Destruction of precancer skin growth, 2-14 growths	3,717	598	$11.96	$5.90
99213 Established patient office or other outpatient visit, typically 15 minutes	1,633	1,196	$169.58	$83.67
17000 Destruction of skin growth	992	779	$123.61	$47.39
11106 Incision biopsy, first skin growth	541	481	$280.11	$135.28
17110 Destruction of up to 14 skin growths	490	400	$205.46	$90.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	276	276	$208.47	$101.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	207	$239.95	$117.43
17004 Destruction of precancer skin growth, 15 or more growths	176	121	$304.55	$150.69
11107 Incision biopsy, each additional skin growth	161	118	$129.27	$63.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	92	$104.54	$50.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	32	$1.97	$0.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$314.14	$155.25
69100 Biopsy of ear	34	31	$173.82	$65.83
11900 Injection into skin growth, 1-7 growths	28	26	$104.68	$42.64
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$134.22	$66.30
11104 Punch biopsy, first skin growth	25	24	$225.56	$111.46
17111 Destruction of skin growth, 15 or more growths	20	19	$241.00	$101.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$552.63	$258.78
87101 Fungal culture (mold or yeast) of skin, hair, or nail	17	14	$15.00	$7.12
11105 Punch biopsy, each additional skin growth	17	13	$107.65	$53.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,225	548	$12.16	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	1,441	1,035	$169.90	$83.24
17000 Destruction of skin growth	926	720	$123.93	$47.72
11106 Incision biopsy, first skin growth	471	430	$285.76	$138.80
17110 Destruction of up to 14 skin growths	435	353	$207.87	$89.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	266	266	$210.91	$103.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	187	$240.90	$117.65
11107 Incision biopsy, each additional skin growth	147	112	$131.80	$64.09
17004 Destruction of precancer skin growth, 15 or more growths	106	77	$311.85	$152.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	98	$104.98	$51.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	48	$2.02	$1.02
11900 Injection into skin growth, 1-7 growths	44	32	$105.93	$36.66
69100 Biopsy of ear	43	41	$178.65	$66.55
11104 Punch biopsy, first skin growth	33	32	$230.82	$111.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$314.72	$150.86
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$134.90	$67.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	18	$26.00	$12.97
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	18	$562.00	$269.69
11105 Punch biopsy, each additional skin growth	18	16	$108.72	$53.72
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	12	$789.46	$389.59
17111 Destruction of skin growth, 15 or more growths	13	11	$244.00	$110.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,376	431	$12.38	$6.21
99213 Established patient office or other outpatient visit, typically 15 minutes	968	703	$171.00	$85.33
17000 Destruction of skin growth	734	598	$125.00	$46.65
11106 Incision biopsy, first skin growth	558	499	$291.00	$144.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	511	511	$212.00	$105.02
17110 Destruction of up to 14 skin growths	261	227	$209.00	$84.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	173	$243.00	$119.75
11107 Incision biopsy, each additional skin growth	160	119	$133.19	$65.97
17004 Destruction of precancer skin growth, 15 or more growths	93	68	$313.00	$156.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$318.00	$152.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	75	34	$2.28	$1.12
69100 Biopsy of ear	47	45	$180.00	$63.51
11104 Punch biopsy, first skin growth	43	40	$235.00	$115.11
11105 Punch biopsy, each additional skin growth	30	25	$110.13	$53.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	25	$565.00	$250.57
11900 Injection into skin growth, 1-7 growths	26	23	$106.00	$38.40
17111 Destruction of skin growth, 15 or more growths	22	19	$245.00	$109.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	19	$27.00	$12.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$106.00	$53.14
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$137.00	$68.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,541	270	$11.90	$5.93
17000 Destruction of skin growth	462	370	$121.84	$44.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	432	432	$211.72	$105.19
99213 Established patient office or other outpatient visit, typically 15 minutes	430	324	$171.79	$85.51
11106 Incision biopsy, first skin growth	370	330	$291.57	$143.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	113	$244.44	$120.41
17110 Destruction of up to 14 skin growths	143	121	$207.82	$86.00
11107 Incision biopsy, each additional skin growth	141	109	$134.47	$66.40
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$137.00	$67.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$317.16	$154.06
17004 Destruction of precancer skin growth, 15 or more growths	44	37	$306.00	$153.13
11104 Punch biopsy, first skin growth	43	41	$239.00	$116.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	30	$2.35	$1.13
69100 Biopsy of ear	31	27	$183.97	$65.16
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	21	$572.00	$263.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$104.72	$52.55
11105 Punch biopsy, each additional skin growth	25	24	$112.96	$56.26
11102 Tangential biopsy of single skin lesion	24	23	$191.00	$78.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	17	$26.00	$11.93
11103 Biopsy of related skin growth, each additional growth	17	15	$97.06	$48.68
11900 Injection into skin growth, 1-7 growths	15	14	$103.93	$37.56
17111 Destruction of skin growth, 15 or more growths	14	12	$243.79	$87.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	263	66	$11.05	$5.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$204.00	$99.25
17000 Destruction of skin growth	90	81	$122.00	$42.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	69	$206.00	$102.82
11106 Incision biopsy, first skin growth	74	73	$281.00	$139.74
17110 Destruction of up to 14 skin growths	33	29	$206.00	$85.85
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$143.00	$71.56
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$142.00	$66.79
11107 Incision biopsy, each additional skin growth	20	19	$133.05	$66.71

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 125-068691

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Kentucky Skin Cancer Center Pllc

1818 Wallace Ct, Bowling Green, KY 421032462

Phone: 2708421999

Practice Associates & Co-Workers

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

40 Associated Practitioners

Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 16, 2016

Registered at 751 N RUTLEDGE ST STE 2300, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

📍

Updated Business Mailing Address June 16, 2016

Registered at PO BOX 19644, SPRINGFIELD, IL 627949644 (Tel: 2175458000)

👤

Provider Name / Credentials Updated June 16, 2016

Recorded as KENNETH MINIELLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Dermatology (License #125-068691 in IL)

🟢

Initial NPI Registration & Enumeration June 16, 2016

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: 1699125062

Entity Type:

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

Enumeration Date: June 16, 2016

Last Update: June 16, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19644

Springfield, IL 627949644

Phone: 2175458000

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.