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Active NPI 1154410231 Individual Practitioner Male Practitioner

Dr. Mark Schmelzel , MD

Surgery • Sterling, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Schmelzel, MD is a registered healthcare professional specializing in Surgery in Sterling, IL. Practice services are available at 101 E MILLER RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of both sides of head and neck blood flow, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 E Miller Rd

Sterling, IL 610811252

Telephone 8156254790
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sterling, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Sterling, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
114 100 $43.82 $25.17
93880 Ultrasound of both sides of head and neck blood flow
81 80 $399.94 $40.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes
39 21 $219.79 $38.38
93923 Complete ultrasound study of arm and leg arteries
31 31 $425.77 $22.66
99221 Initial hospital inpatient care per day, typically 30 minutes
27 26 $348.44 $100.71
93922 Ultrasound study of arm and leg arteries
27 27 $248.44 $12.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
26 25 $281.23 $22.15
93970 Ultrasound study of arm or leg veins with compression and maneuvers
16 16 $448.63 $34.86
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $76.14 $50.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

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

Commercial Insurance / Payer ID Railroad Medicare
P00083859
Commercial Insurance / Payer ID Health Alliance Medical
105226 (IL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
9815737 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. David Bruce , MD

Otolaryngology - Sleep Medicine

NPI 1003998550

Doctor of Medicine (M.D.)

Karen Habben , OT

Occupational Therapist

NPI 1003998576

Occupational Therapist

NPI 1013473305
Dr. Hussein Zaioor , MD

Internal Medicine - Infectious Disease

NPI 1013919943

Doctor of Medicine (M.D.)

NPI 1043421274

Doctor of Medicine (M.D.)

Polly Nobis , NP

Nurse Practitioner

NPI 1063500304

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2007

Registered at 101 E MILLER RD, STERLING, IL 610811252 (Tel: 8156254790)

📍
Updated Business Mailing Address December 12, 2007

Registered at 101 E MILLER RD, STERLING, IL 610811252 (Tel: 8156254790)

👤
Provider Name / Credentials Updated December 12, 2007

Recorded as MARK SCHMELZEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Surgery

🟢
Initial NPI Registration & Enumeration October 12, 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: 1154410231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: December 12, 2007
Sole Proprietor: No

Mailing Address

101 E Miller Rd

Sterling, IL 610811252

Phone: 8156254790

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.