Active NPI 1386087070 Individual Practitioner Male Practitioner

Dr. Khalil Qato , MD

Surgery - Vascular Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Khalil Qato, MD is a certified Surgery - Vascular Surgery practicing in Springfield, IL. With approximately 13 years of clinical experience since graduating from New York Medical College in 2013, Dr. Qato delivers high-quality medical care to the local community at 747 N RUTLEDGE ST FL 4.

Dr. Qato maintains professional affiliations with Loyola University Medical Center, Makrismd Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, ultrasound study of arm or leg veins with compression and maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

747 N Rutledge St Fl 4

Springfield, IL 627026700

Telephone 2175458000

Associated Practice Facility / Clinic

🏢 Siu Physicians & Surgeons, Inc Facility NPI 1790705507

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Springfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -5.8 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

19 Specialists

Practicing in Springfield, IL (207 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Qato (13 Years) 13 Yrs

Springfield Specialty Average (18.8 Years) 18.8 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	74	$364.58	$121.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$370.72	$111.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	37	36	$499.03	$31.75
93880 Ultrasound of both sides of head and neck blood flow	36	36	$706.78	$36.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	23	23	$226.87	$21.06
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$311.26	$91.61
93923 Complete ultrasound study of arm and leg arteries	21	21	$403.00	$20.69
93926 Ultrasound of one leg arteries or artery grafts	12	11	$245.67	$22.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$432.00	$176.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	79	78	$722.00	$37.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	56	$365.00	$123.45
93923 Complete ultrasound study of arm and leg arteries	61	60	$403.00	$21.67
93970 Ultrasound study of arm or leg veins with compression and maneuvers	57	55	$580.00	$32.82
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	43	43	$345.00	$20.83
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$257.00	$87.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$321.00	$106.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	32	$160.00	$54.50
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	15	$344.00	$37.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$504.00	$170.59
93926 Ultrasound of one leg arteries or artery grafts	11	11	$273.00	$22.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	80	$490.95	$103.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$550.07	$127.81
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	38	33	$965.00	$147.81
93880 Ultrasound of both sides of head and neck blood flow	27	27	$722.00	$38.94
93990 Ultrasound of dialysis access	23	13	$891.00	$164.58
93880 Ultrasound of both sides of head and neck blood flow	18	16	$1455.00	$224.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$124.50	$57.27
93923 Complete ultrasound study of arm and leg arteries	14	14	$403.00	$22.40
93926 Ultrasound of one leg arteries or artery grafts	13	11	$784.30	$121.10
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$1438.00	$219.62
93923 Complete ultrasound study of arm and leg arteries	12	12	$1065.00	$157.95
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$580.00	$33.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	99	$383.00	$107.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	27	$322.00	$83.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	82	66	$965.00	$150.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$492.00	$133.34
99221 Initial hospital inpatient care per day, typically 30 minutes	54	54	$430.00	$118.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	34	32	$1438.00	$235.59
93880 Ultrasound of both sides of head and neck blood flow	32	29	$1414.30	$238.40
93990 Ultrasound of dialysis access	30	20	$891.00	$162.74
93923 Complete ultrasound study of arm and leg arteries	19	19	$1065.00	$154.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$592.44	$158.14
93926 Ultrasound of one leg arteries or artery grafts	17	13	$971.26	$144.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$199.00	$66.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	75	$475.00	$126.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	21	$322.00	$82.63
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	39	30	$965.00	$143.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$605.00	$158.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$736.00	$191.06
93990 Ultrasound of dialysis access	28	16	$891.00	$163.69
93880 Ultrasound of both sides of head and neck blood flow	25	23	$1455.00	$231.33
93926 Ultrasound of one leg arteries or artery grafts	22	18	$997.57	$148.00
93923 Complete ultrasound study of arm and leg arteries	18	17	$1012.31	$141.17
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$1438.00	$231.80
76937 Ultrasonic guidance for blood vessel access	14	13	$79.29	$16.52
99238 Hospital discharge day management, 30 minutes or less	13	12	$338.00	$83.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$879.00	$231.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	82	$475.00	$122.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$736.00	$186.02
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	40	$965.00	$140.80
93970 Ultrasound study of arm or leg veins with compression and maneuvers	41	41	$1438.00	$226.74
93880 Ultrasound of both sides of head and neck blood flow	36	32	$1455.00	$235.16
93923 Complete ultrasound study of arm and leg arteries	32	32	$1065.00	$144.99
93990 Ultrasound of dialysis access	26	13	$891.00	$159.55
93926 Ultrasound of one leg arteries or artery grafts	22	19	$1087.00	$155.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	14	$641.00	$164.55
76937 Ultrasonic guidance for blood vessel access	18	17	$79.29	$16.12
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	17	14	$1221.00	$272.42
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$383.00	$84.13
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	12	$464.00	$97.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	22	$475.00	$121.81
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$383.00	$82.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$965.00	$140.43

Medical Specialties & State Licenses

CMS Verified: 2024-07-15

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License IL 036.161375

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Makrismd Llc

700 Pasquinelli Dr, Westmont, IL 605591382

Phone: 6303238690

Loyola University Medical Center

2160 S 1st Ave, Maywood, IL 601533328

Phone: 7082168372

Secondary Practice Locations

8626 Hotchkiss Dr

Frankfort, IL 604238597

Phone: 7086538011

700 Pasquinelli Dr

Westmont, IL 605591382

Phone: 6303238690

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

8 Historical Events

📍

Updated Practice Location August 18, 2022

Registered at 747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 627026700 (Tel: 2175458000)

📍

Updated Business Mailing Address August 18, 2022

Registered at 201 E MADISON ST STE 328, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

✅

NPI Profile Active April 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2013

Registered at 8626 HOTCHKISS DR, FRANKFORT, IL 604238597 (Tel: 7086538011)

📍

Updated Business Mailing Address April 11, 2013

Registered at 8626 HOTCHKISS DR, FRANKFORT, IL 604238597 (Tel: 7086538011)

👤

Provider Name / Credentials Updated April 11, 2013

Recorded as KHALIL QATO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386087070

Entity Type:

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

Enumeration Date: April 11, 2013

Last Update: July 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 E Madison St Ste 328

Springfield, IL 627025131

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.