Active NPI 1538258603 Individual Practitioner Male Practitioner

Dr. Thomas Mcglone , MD

Surgery • Sterling, IL

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Mcglone, 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, removal of skin and tissue, 20.0 sq cm or less, 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

101 E Miller Rd

Sterling, IL 610811252

Telephone 8156254790

Associated Practice Facility / Clinic

🏢 Sterling Rock Falls Clinic, Ltd Facility NPI 1205918810

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

77.2% 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 (2021)

Reporting Year:

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	232	78	$98.41	$35.75
11042 Removal of skin and tissue, 20.0 sq cm or less	176	60	$808.60	$60.39
99213 Established patient office or other outpatient visit, typically 15 minutes	62	49	$98.90	$88.25
99213 Established patient office or other outpatient visit, typically 15 minutes	48	47	$97.56	$67.05

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	191	66	$92.22	$26.27
11042 Removal of skin and tissue, 20.0 sq cm or less	101	35	$755.78	$62.62
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$96.00	$72.47
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$90.14	$51.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$146.69	$76.74

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	161	78	$84.20	$25.62
99213 Established patient office or other outpatient visit, typically 15 minutes	108	95	$87.33	$51.18
11042 Removal of skin and tissue, 20.0 sq cm or less	99	46	$720.18	$61.46
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	47	12	$1545.38	$86.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$136.28	$76.71

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	148	76	$45.16	$25.21
99213 Established patient office or other outpatient visit, typically 15 minutes	116	98	$82.02	$50.73
11042 Removal of skin and tissue, 20.0 sq cm or less	107	48	$667.06	$61.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$128.56	$76.17
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$166.36	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	249	73	$644.63	$60.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	95	$40.49	$25.15
99213 Established patient office or other outpatient visit, typically 15 minutes	160	132	$76.93	$50.29
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	75	16	$456.49	$26.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$122.80	$76.06
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$426.94	$100.59
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$82.67	$49.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$5949.80	$346.60

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036073236

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

036073236 (IL)

Commercial Insurance / Payer ID Health Alliance Medical

085705 (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

Laurie Buckman

Midwife

NPI 1013473305

Dr. Hussein Zaioor , MD

Internal Medicine - Infectious Disease

NPI 1013919943

Doctor of Medicine (M.D.)

Dr. Jeffrey Thormeyer , MD

Specialist

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

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

📍

Updated Business Mailing Address July 08, 2007

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

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS MCGLONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #036073236 in IL)

🟢

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: 1538258603

Entity Type:

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

Enumeration Date: October 12, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

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.