Active NPI 1336186279 Individual Practitioner Male Practitioner

Dr. Blair M. Rowitz , MD

Surgery • Urbana, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Blair Rowitz, MD is a certified Surgery practicing in Urbana, IL. With approximately 33 years of clinical experience since graduating from Rush Medical College Of Rush University in 1993, Dr. Rowitz delivers high-quality medical care to the local community at 611 W. PARK ST..

Dr. Rowitz is affiliated with Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

611 W. Park St.
General Surgery

Urbana, IL 618012500

Telephone 2173833240

Fax 2173834597

Associated Practice Facility / Clinic

🏢 Hoopeston Community Memorial Hospital Facility NPI 1467549402

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Urbana, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +14.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

40 Specialists

Practicing in Urbana, IL (1624 Statewide)

Telehealth Adoption Rate

7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rowitz (33 Years) 33 Yrs

Urbana Specialty Average (18.4 Years) 18.4 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	25	22	$233.40	$91.69
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$155.00	$62.39

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	27	$225.00	$96.71

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	26	21	$215.00	$97.57
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$140.00	$63.09

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	34	30	$217.35	$96.65
99213 Established patient office or other outpatient visit, typically 15 minutes	23	16	$155.43	$67.70

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	32	29	$217.19	$80.96
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$153.80	$56.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	30	$158.08	$51.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$249.21	$78.85
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$120.00	$51.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$190.00	$78.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$115.00	$50.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	25	$74.00	$25.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$246.79	$71.91
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	$445.83	$167.75

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	58	43	$71.00	$25.18
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$119.52	$50.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$557.50	$167.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$190.77	$77.33
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$8000.00	$1099.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036129880

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

T43548 (SC)

Commercial Insurance / Payer ID Georgia Medicaid

000877621B (GA)

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

3103 Fields S Dr, Champaign, IL 618223743

Phone: 2179022300

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012500

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Richard Berlin , MD

Surgery

NPI 1063446193

Doctor of Medicine (M.D.)

Dr. Paul Wetstein , MD

Surgery

NPI 1104189166

Doctor of Medicine (M.D.)

Umakanth Avula

Surgery - Trauma Surgery

NPI 1124479167

Brooke Mcallister , NP

Nurse Practitioner

NPI 1215390414

Nurse Practitioner

Mattie Arseneaux

Surgery - Trauma Surgery

NPI 1295260032

Dr. Roxanne Mcmillan , DO

Surgery - Trauma Surgery

NPI 1336366160

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2015

Registered at 611 W. PARK ST., GENERAL SURGERY, URBANA, IL 618012500 (Tel: 2173833240)

📍

Updated Business Mailing Address December 22, 2015

Registered at 611 W. PARK ST., BWPC, URBANA, IL 618012500 (Tel: 2173836792)

👤

Provider Name / Credentials Updated December 22, 2015

Recorded as BLAIR ROWITZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2015

Surgery (License #036129880 in IL)

🟢

Initial NPI Registration & Enumeration May 31, 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: 1336186279

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: December 22, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W. Park St., Bwpc

Urbana, IL 618012500

Phone: 2173836792

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.