Active NPI 1972600294 Individual Practitioner Female Practitioner

Dr. Diane C. Hillard-Sembell , MD

Orthopaedic Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Diane Hillard-Sembell, MD is a certified Orthopaedic Surgery practicing in Springfield, IL. With approximately 40 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 1986, Dr. Hillard-Sembell delivers high-quality medical care to the local community at 800 N. 1ST STREET.

Dr. Hillard-Sembell is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hyaluronan or derivative, euflexxa, for intra-articular injection, per dose, 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

800 N. 1st Street

Springfield, IL 62702

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

1986

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

40 Yrs +18.6 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

83.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hillard-Sembell (40 Years) 40 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	51	43	$412.73	$86.98
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	31	14	$591.48	$116.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$516.77	$104.38
20610 Aspiration and/or injection of fluid from large joint	29	18	$414.07	$73.31
73560 X-ray of knee, 1-2 views	21	18	$164.67	$32.22
73562 X-ray of knee, 3 views	21	21	$199.00	$38.39
77073 Imaging for bone length assessment	14	14	$232.00	$42.66
27447 Replacement of knee joint, both sides of knee	12	12	$8228.56	$1307.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	56	$382.00	$88.04
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	58	22	$591.48	$126.50
20610 Aspiration and/or injection of fluid from large joint	45	24	$449.42	$78.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$496.00	$110.95
73560 X-ray of knee, 1-2 views	26	22	$163.00	$32.45
73562 X-ray of knee, 3 views	22	21	$197.00	$38.37
27447 Replacement of knee joint, both sides of knee	17	17	$8164.26	$1288.17
77073 Imaging for bone length assessment	17	17	$232.00	$42.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	58	$343.94	$88.53
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	63	36	$591.48	$130.52
20610 Aspiration and/or injection of fluid from large joint	57	40	$382.53	$72.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$474.38	$112.01
73562 X-ray of knee, 3 views	28	26	$189.57	$39.39
77073 Imaging for bone length assessment	22	21	$195.09	$43.72
27447 Replacement of knee joint, both sides of knee	19	18	$7931.00	$1299.00
73560 X-ray of knee, 1-2 views	15	13	$157.40	$32.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	56	$317.00	$88.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$441.00	$111.22
73562 X-ray of knee, 3 views	35	28	$189.00	$38.16
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	35	21	$591.48	$136.79
73560 X-ray of knee, 1-2 views	31	27	$157.00	$32.34
20610 Aspiration and/or injection of fluid from large joint	29	25	$424.97	$76.05
27447 Replacement of knee joint, both sides of knee	20	19	$8030.14	$1295.97
77073 Imaging for bone length assessment	20	19	$100.47	$43.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	65	$294.00	$73.64
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	41	24	$591.48	$142.89
20610 Aspiration and/or injection of fluid from large joint	38	27	$448.21	$74.52
27447 Replacement of knee joint, both sides of knee	32	29	$7931.00	$1386.89
73560 X-ray of knee, 1-2 views	32	28	$157.00	$31.68
77073 Imaging for bone length assessment	29	25	$81.50	$41.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$409.00	$107.22
73562 X-ray of knee, 3 views	19	17	$189.00	$37.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	83	$94.12	$72.84
73562 X-ray of knee, 3 views	72	52	$41.91	$35.43
20610 Aspiration and/or injection of fluid from large joint	62	45	$108.61	$64.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$135.58	$106.86
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	59	34	$193.32	$141.04
73560 X-ray of knee, 1-2 views	51	44	$40.71	$30.75
77073 Imaging for bone length assessment	23	22	$20.87	$18.86
27447 Replacement of knee joint, both sides of knee	23	22	$2032.86	$1349.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$130.90	$106.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	128	$79.50	$70.64
20610 Aspiration and/or injection of fluid from large joint	105	59	$78.68	$63.16
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	93	41	$158.29	$142.50
73560 X-ray of knee, 1-2 views	73	61	$33.26	$28.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$123.79	$103.99
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	64	19	$7.70	$6.93
73562 X-ray of knee, 3 views	61	50	$39.20	$33.62
27447 Replacement of knee joint, both sides of knee	27	25	$1510.64	$1373.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$115.09	$104.65
77073 Imaging for bone length assessment	19	17	$17.41	$17.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	114	$80.76	$69.62
20610 Aspiration and/or injection of fluid from large joint	72	37	$78.75	$61.51
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	61	19	$6.84	$6.17
73560 X-ray of knee, 1-2 views	56	47	$31.45	$28.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$121.44	$105.87
73562 X-ray of knee, 3 views	48	40	$33.91	$33.48
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	45	17	$94.64	$85.21
27447 Replacement of knee joint, both sides of knee	28	25	$2030.81	$1295.98
77073 Imaging for bone length assessment	25	24	$22.44	$16.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$115.40	$103.98

Medical Specialties & State Licenses

CMS Verified: 2020-05-22

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036-076412

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 036076412

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

036076412 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

725 Saint Francis Way, Litchfield, IL 620561780

Phone: 2173247529

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 February 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2014

Registered at 800 N. 1ST STREET, SPRINGFIELD, IL 62702 (Tel: 2175287541)

📍

Updated Business Mailing Address February 27, 2014

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

👤

Provider Name / Credentials Updated February 27, 2014

Recorded as DIANE HILLARD-SEMBELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2014

Orthopaedic Surgery (License #036-076412 in IL)

🟢

Initial NPI Registration & Enumeration September 20, 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: 1972600294

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: May 22, 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.