Active NPI 1235177023 Individual Practitioner Male Practitioner

Brett W Wolters

Orthopaedic Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brett Wolters is a certified Orthopaedic Surgery practicing in Springfield, IL. With approximately 25 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2001, Brett Wolters delivers high-quality medical care to the local community at 800 N 1ST ST.

Brett Wolters is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 N 1st St

Springfield, IL 627023719

Telephone 2175287541

Fax 2175223118

Associated Practice Facility / Clinic

🏢 Springfield Clinic, Llp Facility NPI 1316123284

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +3.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

44 Specialists

Practicing in Springfield, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wolters (25 Years) 25 Yrs

Springfield Specialty Average (21.4 Years) 21.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	120	98	$412.00	$87.98
73564 X-ray of knee, 4 or more views	113	82	$231.85	$44.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	85	$583.60	$124.34
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	95	44	$18.00	$6.92
73562 X-ray of knee, 3 views	75	58	$199.16	$38.31
20610 Aspiration and/or injection of fluid from large joint	56	50	$361.14	$68.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$517.60	$107.34
73030 X-ray of shoulder, minimum of 2 views	44	28	$188.23	$32.85
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	41	38	$50.78	$16.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$770.64	$164.57
27447 Replacement of knee joint, both sides of knee	33	31	$8075.36	$1296.56
77073 Imaging for bone length assessment	23	23	$232.00	$42.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	133	$382.00	$87.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	93	$557.59	$123.12
73564 X-ray of knee, 4 or more views	125	90	$229.00	$44.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	122	50	$18.00	$6.65
73562 X-ray of knee, 3 views	86	67	$197.00	$38.03
20610 Aspiration and/or injection of fluid from large joint	83	66	$361.69	$65.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$496.00	$109.45
73030 X-ray of shoulder, minimum of 2 views	44	32	$187.00	$32.82
27447 Replacement of knee joint, both sides of knee	43	40	$7931.00	$1273.70
77073 Imaging for bone length assessment	39	37	$232.00	$42.73
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	38	20	$591.48	$127.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$741.00	$162.74
73503 X-ray of hip with pelvis, minimum of 4 views	18	17	$255.00	$55.88
29881 Removal of knee cartilage using an endoscope	11	11	$4151.00	$466.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	135	$338.25	$88.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	107	$495.84	$125.78
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	143	55	$18.00	$6.65
20610 Aspiration and/or injection of fluid from large joint	116	85	$359.59	$68.01
73564 X-ray of knee, 4 or more views	104	89	$220.61	$44.55
73562 X-ray of knee, 3 views	76	65	$190.05	$39.00
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	65	37	$591.48	$130.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$469.98	$110.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$658.73	$159.83
77073 Imaging for bone length assessment	44	43	$184.55	$43.78
73030 X-ray of shoulder, minimum of 2 views	39	33	$180.18	$33.38
27447 Replacement of knee joint, both sides of knee	37	36	$7931.00	$1303.68
73503 X-ray of hip with pelvis, minimum of 4 views	25	25	$254.28	$56.76
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$278.00	$49.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	180	71	$18.00	$7.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	122	$460.65	$125.30
99213 Established patient office or other outpatient visit, typically 15 minutes	151	128	$317.00	$89.74
73564 X-ray of knee, 4 or more views	141	103	$221.56	$44.19
20610 Aspiration and/or injection of fluid from large joint	126	86	$351.11	$64.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$615.00	$166.55
73030 X-ray of shoulder, minimum of 2 views	78	54	$180.00	$32.83
73562 X-ray of knee, 3 views	67	57	$189.00	$38.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$441.00	$109.88
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	48	24	$591.48	$135.22
77073 Imaging for bone length assessment	40	38	$111.76	$42.70
27447 Replacement of knee joint, both sides of knee	23	22	$7999.97	$1307.84
73503 X-ray of hip with pelvis, minimum of 4 views	22	21	$253.00	$55.86
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$946.00	$179.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$199.00	$54.93
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$5627.00	$1089.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$624.00	$135.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	242	$294.00	$74.47
20610 Aspiration and/or injection of fluid from large joint	254	129	$370.60	$65.41
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	224	87	$18.08	$7.15
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	113	34	$591.48	$144.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$409.00	$106.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	99	$428.24	$107.81
73564 X-ray of knee, 4 or more views	95	74	$222.32	$41.63
73562 X-ray of knee, 3 views	79	62	$189.00	$37.37
73030 X-ray of shoulder, minimum of 2 views	75	50	$180.00	$31.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$570.00	$162.94
J7333 Hyaluronan or derivative, visco-3, for intra-articular injection, per dose	35	11	$1100.00	$352.98
77073 Imaging for bone length assessment	34	32	$90.35	$41.05
27447 Replacement of knee joint, both sides of knee	34	34	$7931.00	$1409.99
J1040 Injection, methylprednisolone acetate, 80 mg	32	19	$29.00	$11.38
73503 X-ray of hip with pelvis, minimum of 4 views	19	17	$253.00	$53.38
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	14	12	$1074.64	$96.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	358	252	$116.03	$73.17
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	244	38	$1.74	$1.57
20610 Aspiration and/or injection of fluid from large joint	224	130	$127.71	$65.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	137	$150.47	$105.19
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	137	40	$204.19	$141.20
73564 X-ray of knee, 4 or more views	134	105	$66.53	$38.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	117	55	$8.86	$6.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$189.49	$107.03
73562 X-ray of knee, 3 views	89	74	$68.28	$35.44
73030 X-ray of shoulder, minimum of 2 views	82	59	$56.53	$28.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$236.74	$160.28
27447 Replacement of knee joint, both sides of knee	42	41	$2446.12	$1393.49
77073 Imaging for bone length assessment	42	42	$31.18	$23.23
J1040 Injection, methylprednisolone acetate, 80 mg	32	24	$21.12	$11.83
64721 Release and/or relocation of hand nerve	25	18	$493.95	$339.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$101.45	$41.75
73503 X-ray of hip with pelvis, minimum of 4 views	23	18	$77.44	$51.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	16	12	$445.99	$90.16
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$299.14	$182.33
64718 Release and/or relocation of elbow nerve	14	11	$679.96	$621.09
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$1601.82	$1101.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$268.19	$124.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	339	129	$8.09	$7.03
99213 Established patient office or other outpatient visit, typically 15 minutes	261	206	$81.78	$71.33
20610 Aspiration and/or injection of fluid from large joint	216	139	$77.67	$61.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$125.80	$103.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	106	$49.82	$42.48
73564 X-ray of knee, 4 or more views	113	90	$47.55	$36.84
73562 X-ray of knee, 3 views	99	71	$37.24	$33.65
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	85	36	$162.11	$146.02
73030 X-ray of shoulder, minimum of 2 views	70	59	$30.33	$27.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	66	$126.69	$101.55
36415 Insertion of needle into vein for collection of blood sample	42	19	$3.00	$2.94
77073 Imaging for bone length assessment	41	41	$22.86	$18.97
27447 Replacement of knee joint, both sides of knee	38	38	$1679.60	$1352.91
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$89.56	$73.81
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	13	$99.19	$85.03
73503 X-ray of hip with pelvis, minimum of 4 views	13	13	$49.37	$48.64
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	13	$198.00	$180.25
64721 Release and/or relocation of hand nerve	12	11	$493.99	$426.45
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$1191.44	$1068.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	308	112	$7.59	$6.76
99213 Established patient office or other outpatient visit, typically 15 minutes	233	177	$82.01	$70.63
20610 Aspiration and/or injection of fluid from large joint	177	107	$90.96	$62.09
73562 X-ray of knee, 3 views	155	112	$36.07	$33.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$125.81	$103.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	90	83	$50.73	$41.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	71	$119.74	$104.54
73030 X-ray of shoulder, minimum of 2 views	45	36	$40.78	$27.31
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	43	16	$105.60	$82.44
77073 Imaging for bone length assessment	37	35	$25.24	$17.80
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$91.30	$73.54
27447 Replacement of knee joint, both sides of knee	35	33	$2056.85	$1330.58
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	34	13	$268.04	$152.04
36415 Insertion of needle into vein for collection of blood sample	24	17	$3.00	$2.94
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	13	$100.57	$88.38
73502 X-ray of hip, 2-3 views	19	15	$39.29	$38.69
20550 Injection into tendon or ligament	18	14	$58.89	$50.15

Medical Specialties & State Licenses

CMS Verified: 2020-05-19

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036117547

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License IL 036117547

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

747 N Rutlage Baylis Medical Bld, Springfield, IL 627026700

Phone: 2175457722

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 December 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 04, 2013

Registered at 800 N 1ST ST, SPRINGFIELD, IL 627023719 (Tel: 2175287541)

📍

Updated Business Mailing Address December 04, 2013

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

👤

Provider Name / Credentials Updated December 04, 2013

Recorded as BRETT WOLTERS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2013

Orthopaedic Surgery (License #036117547 in IL)

🟢

Initial NPI Registration & Enumeration June 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: 1235177023

Entity Type:

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

Enumeration Date: June 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.