Active NPI 1164587994 Individual Practitioner Male Practitioner

Dr. Marc Rider Garfinkel , MD

Transplant Surgery • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Garfinkel, MD is a certified Transplant Surgery practicing in Springfield, IL. With approximately 34 years of clinical experience since graduating from Duke University School Of Medicine in 1992, Dr. Garfinkel delivers high-quality medical care to the local community at 747 N RUTLEDGE ST.

Dr. Garfinkel is affiliated with Siu Physicians And Surgeons Inc 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, established patient outpatient office visit, 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

747 N Rutledge St
5th Floor

Springfield, IL 627026700

Telephone 2175455878

Fax 2175450040

Associated Practice Facility / Clinic

🏢 Central Illinois Hematology Oncology Center Pc Facility NPI 1750306692

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Transplant Surgery in Springfield, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Springfield, IL (68 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Garfinkel (34 Years) 34 Yrs

Springfield Specialty Average (24.5 Years) 24.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	30	$226.15	$76.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$365.00	$116.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$488.55	$167.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$374.79	$126.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$467.43	$161.16
50360 Transplantation of donor kidney	13	13	$10473.69	$2395.01
50323 Preparation of donor kidney for transplantation	12	12	$2126.33	$152.62
49422 Removal of abdominal cavity catheter	12	12	$2597.00	$202.77
47562 Removal of gallbladder using an endoscope	12	12	$3591.20	$657.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$499.36	$173.23

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	78	29	$230.00	$76.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$365.00	$124.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$378.41	$125.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$471.78	$152.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$504.00	$171.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	11	$145.00	$38.30
49422 Removal of abdominal cavity catheter	13	13	$2597.00	$164.54
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$3002.00	$395.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$613.00	$215.38
50360 Transplantation of donor kidney	11	11	$10046.86	$2284.57
50323 Preparation of donor kidney for transplantation	11	11	$2248.00	$155.87

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	140	44	$158.00	$70.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	43	$320.00	$132.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$207.00	$120.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	18	$116.00	$38.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$392.00	$195.34
49422 Removal of abdominal cavity catheter	14	14	$2597.00	$187.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$303.00	$164.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$265.00	$176.84
50360 Transplantation of donor kidney	11	11	$10978.04	$2381.97

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	149	68	$158.00	$71.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	45	$207.00	$127.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	56	$320.00	$135.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	34	$116.00	$38.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$304.14	$166.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$392.00	$193.60
49422 Removal of abdominal cavity catheter	17	17	$2597.00	$210.25
50360 Transplantation of donor kidney	13	13	$10782.00	$2354.83
49324 Insertion of abdominal cavity catheter using an endoscope	13	13	$3002.00	$396.78
47562 Removal of gallbladder using an endoscope	11	11	$3712.00	$658.69

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	217	67	$158.00	$72.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	67	$320.00	$139.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	40	$116.00	$39.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	50	$207.00	$104.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$392.00	$204.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$303.00	$164.19
50360 Transplantation of donor kidney	21	21	$10782.00	$2414.54
50323 Preparation of donor kidney for transplantation	20	20	$2248.00	$138.59
49422 Removal of abdominal cavity catheter	18	18	$2597.00	$209.49
47562 Removal of gallbladder using an endoscope	15	15	$3761.49	$694.78
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$3002.00	$374.42

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	105	41	$158.00	$72.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$207.00	$105.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$320.80	$135.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	38	$306.28	$152.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$392.00	$202.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$116.00	$39.50
50360 Transplantation of donor kidney	14	14	$10782.00	$2488.27
47562 Removal of gallbladder using an endoscope	12	12	$3712.00	$685.72
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$3002.00	$377.13

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	119	47	$158.00	$71.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	57	$207.00	$103.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$306.05	$151.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$320.00	$135.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$392.00	$200.90
49324 Insertion of abdominal cavity catheter using an endoscope	15	15	$3002.00	$372.41
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$143.00	$70.56
50360 Transplantation of donor kidney	13	13	$10782.00	$2210.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$384.50	$202.51
50323 Preparation of donor kidney for transplantation	11	11	$2248.00	$148.01

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	93	42	$158.00	$71.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	51	$207.00	$102.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$320.00	$135.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$392.00	$199.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$303.00	$159.34
49422 Removal of abdominal cavity catheter	18	17	$2597.00	$363.94
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$143.00	$70.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$256.33	$139.78
50360 Transplantation of donor kidney	11	11	$10782.00	$2334.15

Medical Specialties & State Licenses

CMS Verified: 2020-10-22

Transplant Surgery Primary Specialty

NUCC Taxonomy Code: 204F00000X

State License IL 036105100

A surgeon who specializes in transplant surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036-105100

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036105100 (IL)

Hospital & Practice Group Affiliations

Siu Physicians And Surgeons Inc

751 N Rutledge St, Springfield, IL 627024968

Phone: 2175458000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Patricia Klos , ANP-BC

Nurse Practitioner - Adult Health

NPI 1205068962

ANPBC

Dr. John Mellinger , MD

Surgery

NPI 1275642233

Doctor of Medicine (M.D.)

Dr. Sajida Ahad , MD

Surgery

NPI 1326024837

Doctor of Medicine (M.D.)

Micah Servis , SA-C

Physician Assistant - Surgical

NPI 1467752220

SAC

Sharon Mollman , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1578621132

Dr. Hilary Sanfey , MD

Transplant Surgery

NPI 1790816916

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2012

Registered at 747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 627026700 (Tel: 2175455878)

📍

Updated Business Mailing Address August 28, 2012

Registered at PO BOX 19638, SPRINGFIELD, IL 627949638 (Tel: 2175455878)

👤

Provider Name / Credentials Updated August 28, 2012

Recorded as MARC GARFINKEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2012

Transplant Surgery (License #036105100 in IL)

🟢

Initial NPI Registration & Enumeration December 22, 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: 1164587994

Entity Type:

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

Enumeration Date: December 22, 2006

Last Update: October 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19638

Springfield, IL 627949638

Phone: 2175455878

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.