Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134229826 Individual Practitioner Male Practitioner

Dr. Raj K. Sinha , MD

Plastic Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Raj Sinha, MD is a certified Plastic Surgery practicing in Springfield, IL. With approximately 30 years of clinical experience since graduating from Medical College Of Wisconsin in 1996, Dr. Sinha delivers high-quality medical care to the local community at 2901 GREENBRIAR DR.

Dr. Sinha is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2901 Greenbriar Dr

Springfield, IL 627046425

Telephone 2175287541
Associated Practice Facility / Clinic
🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +16.5 yrs vs City Avg
City Avg: 13.5 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Springfield, IL (236 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sinha (30 Years) 30 Yrs
Springfield Specialty Average (13.5 Years) 13.5 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
123 91 $413.96 $87.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
106 106 $518.03 $108.84
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
87 71 $1856.00 $397.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
42 38 $582.00 $125.08
36415 Insertion of needle into vein for collection of blood sample
42 38 $8.64 $8.32
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
40 39 $1298.00 $129.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
39 39 $769.79 $157.91
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
35 29 $2189.00 $441.31
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
31 28 $1138.00 $121.97
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
27 26 $2637.00 $472.49
99202 New patient office or other outpatient visit, typically 20 minutes
22 22 $346.50 $68.90
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
22 19 $1073.00 $117.40
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
19 16 $1417.00 $310.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $257.85 $54.80

Medical Specialties & State Licenses

CMS Verified: 2020-05-20
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IL 036-105983

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036105983 (IL)

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

2901 Greenbriar Dr, Springfield, IL 627046425

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)

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 January 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2009

Registered at 2901 GREENBRIAR DR, SPRINGFIELD, IL 627046425 (Tel: 2175287541)

📍
Updated Business Mailing Address January 19, 2009

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

👤
Provider Name / Credentials Updated January 19, 2009

Recorded as RAJ SINHA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2009

Plastic Surgery (License #036-105983 in IL)

🟢
Initial NPI Registration & Enumeration September 23, 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: 1134229826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2006
Last Update: May 20, 2020
Sole Proprietor: No

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.