Active NPI 1023365368 Individual Practitioner Male Practitioner

Dr. Binod Khatiwada , MD

Internal Medicine • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Binod Khatiwada, MD is a certified Internal Medicine practicing in Springfield, IL. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Khatiwada delivers high-quality medical care to the local community at 1025 S 6TH ST.

Dr. Khatiwada is affiliated with Sound Physicians Of Indiana Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of 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

1025 S 6th St

Springfield, IL 627032403

Telephone 2175287541

Fax 2175288962

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -0.1 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

87.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khatiwada (19 Years) 19 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	471	187	$718.00	$107.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	105	$500.00	$71.24
99239 Hospital discharge day management, more than 30 minutes	111	106	$737.00	$103.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	79	$1389.00	$155.23
99291 Critical care, first 30-74 minutes	25	23	$1534.00	$191.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$948.00	$117.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	284	138	$718.00	$110.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	93	$500.00	$74.14
99239 Hospital discharge day management, more than 30 minutes	75	73	$737.00	$106.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$1389.00	$162.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$948.00	$117.91
99291 Critical care, first 30-74 minutes	25	24	$1534.00	$199.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	105	$719.98	$96.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	157	104	$501.03	$66.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	79	$1391.56	$185.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$948.00	$126.31
99291 Critical care, first 30-74 minutes	33	32	$1540.51	$204.94
99497 Advance care planning, first 30 minutes	32	32	$547.04	$73.23
99239 Hospital discharge day management, more than 30 minutes	31	30	$737.00	$98.83
99220 Hospital observation care, typically 70 minutes	27	27	$1253.00	$168.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	393	158	$512.49	$68.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	199	101	$741.10	$98.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	61	$1439.50	$191.41
99239 Hospital discharge day management, more than 30 minutes	63	61	$763.71	$100.48
99291 Critical care, first 30-74 minutes	34	33	$1587.72	$210.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$972.22	$127.22
99497 Advance care planning, first 30 minutes	26	25	$562.59	$75.13
99220 Hospital observation care, typically 70 minutes	13	13	$1318.91	$173.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	459	190	$323.49	$70.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	94	$453.51	$133.31
99291 Critical care, first 30-74 minutes	81	52	$795.91	$215.17
99239 Hospital discharge day management, more than 30 minutes	67	66	$507.37	$104.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	34	$683.47	$101.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	36	$173.46	$37.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$1439.50	$197.51
99225 Subsequent observation care, typically 25 minutes per day	24	18	$222.49	$70.66
99219 Hospital observation care, typically 50 minutes	19	19	$206.00	$130.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	213	106	$132.00	$69.61
99239 Hospital discharge day management, more than 30 minutes	53	52	$227.00	$103.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	38	$184.00	$99.95
99291 Critical care, first 30-74 minutes	47	27	$400.00	$213.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$229.00	$127.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	18	$100.00	$37.73
99219 Hospital observation care, typically 50 minutes	23	23	$206.00	$130.46
99225 Subsequent observation care, typically 25 minutes per day	14	12	$101.00	$70.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	490	218	$93.02	$70.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	212	93	$142.85	$100.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	109	$226.12	$198.11
99239 Hospital discharge day management, more than 30 minutes	106	104	$143.79	$105.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$177.60	$133.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	16	$71.33	$38.27
99238 Hospital discharge day management, 30 minutes or less	19	19	$95.22	$68.05
99291 Critical care, first 30-74 minutes	16	11	$400.00	$210.73
99217 Hospital observation care on day of discharge	14	14	$90.72	$71.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	737	307	$79.68	$70.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	314	158	$115.55	$102.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	231	226	$225.09	$199.15
99239 Hospital discharge day management, more than 30 minutes	173	171	$118.14	$104.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	16	$43.09	$38.81
99220 Hospital observation care, typically 70 minutes	20	20	$214.36	$173.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$150.10	$135.19
99238 Hospital discharge day management, 30 minutes or less	15	14	$78.78	$70.96

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036136052

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Sound Physicians Of Indiana Llc

5215 Holy Cross Pkwy, Mishawaka, IN 465451469

Phone: 5743355000

Sound Physicians Of Indiana Llc

8701 Broadway, Merrillville, IN 464107035

Phone: 2197385500

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 May 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2015

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

📍

Updated Business Mailing Address May 27, 2015

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

👤

Provider Name / Credentials Updated May 27, 2015

Recorded as BINOD KHATIWADA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2015

Internal Medicine (License #036136052 in IL)

🟢

Initial NPI Registration & Enumeration August 06, 2012

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: 1023365368

Entity Type:

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

Enumeration Date: August 06, 2012

Last Update: May 27, 2015

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.