Active NPI 1235103581 Individual Practitioner Male Practitioner

Dr. Anthony F Altimari , MD

Surgery • Wheaton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Altimari, MD is a certified Surgery practicing in Wheaton, IL. With approximately 43 years of clinical experience since graduating from R Franklin University Of Med & Sci/Chicago Medical School in 1983, Dr. Altimari delivers high-quality medical care to the local community at 7 BLANCHARD CIR.

Dr. Altimari is affiliated with Central Dupage Physician Group 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, new patient outpatient office visit, established 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

7 Blanchard Cir

Wheaton, IL 601892037

Telephone 6306680833

Fax 6306687685

Associated Practice Facility / Clinic

🏢 Dupage Surgical Consultants, Ltd. Facility NPI 1801862859

Medicare Profile & Education

Medical School

R Franklin University Of Med & Sci/chicago Medical School

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wheaton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +15.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Wheaton, IL (1624 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Altimari (43 Years) 43 Yrs

Wheaton Specialty Average (28.0 Years) 28.0 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	104	47	$145.00	$81.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$308.67	$174.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	63	$194.00	$134.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$254.00	$137.42
49650 Repair of groin hernia using an endoscope	41	41	$1406.93	$512.08
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$122.17	$96.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$207.77	$115.56
47562 Removal of gallbladder using an endoscope	24	24	$2170.81	$695.60
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$196.85	$83.68
49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length	12	12	$1066.00	$348.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$311.00	$176.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	46	$145.00	$83.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	60	$254.00	$137.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$194.00	$134.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$205.00	$119.43
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$123.00	$93.96
49650 Repair of groin hernia using an endoscope	28	28	$1388.36	$497.79
47562 Removal of gallbladder using an endoscope	28	28	$2217.00	$719.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$102.00	$52.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$311.00	$179.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	31	$145.00	$74.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	56	$254.00	$142.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$194.00	$136.48
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$123.00	$97.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$205.00	$120.85
47562 Removal of gallbladder using an endoscope	27	27	$2151.31	$702.63
49650 Repair of groin hernia using an endoscope	24	24	$1463.00	$519.55
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$188.00	$107.07
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$697.00	$299.93
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	11	11	$5335.91	$1810.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$311.00	$179.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	35	$145.00	$75.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	50	$256.60	$144.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$205.00	$121.33
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$123.00	$98.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$194.00	$139.30
49650 Repair of groin hernia using an endoscope	29	29	$1556.69	$524.47
47562 Removal of gallbladder using an endoscope	28	28	$2217.00	$751.43
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$194.39	$108.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$83.00	$60.52
49568 Placement of mesh to repair incisional or abdominal hernia	14	13	$697.00	$302.63

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	70	38	$145.00	$77.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$312.25	$177.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$194.00	$115.00
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$123.00	$80.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$254.00	$149.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$205.00	$112.88
49650 Repair of groin hernia using an endoscope	18	18	$1463.00	$523.71
47562 Removal of gallbladder using an endoscope	16	16	$2223.38	$767.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$83.00	$49.38
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$188.00	$111.21

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	72	70	$194.00	$114.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	37	$145.00	$77.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$312.15	$175.35
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$123.00	$78.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$205.00	$113.21
47562 Removal of gallbladder using an endoscope	26	26	$2234.05	$721.77
49650 Repair of groin hernia using an endoscope	25	25	$1605.12	$555.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$254.00	$145.86
49560 Repair of incisional or abdominal hernia	13	13	$2174.95	$841.70
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$697.00	$307.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$268.00	$154.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$311.93	$172.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	43	$145.00	$75.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	62	$194.00	$111.64
99213 Established patient office or other outpatient visit, typically 15 minutes	52	37	$123.00	$76.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$256.65	$141.67
49650 Repair of groin hernia using an endoscope	24	24	$1384.63	$509.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$208.46	$111.08
47562 Removal of gallbladder using an endoscope	16	16	$2217.00	$698.25

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	102	48	$145.00	$73.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$311.00	$173.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	63	$194.00	$112.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	57	$254.00	$144.18
99213 Established patient office or other outpatient visit, typically 15 minutes	46	34	$123.00	$76.72
47562 Removal of gallbladder using an endoscope	33	33	$2230.44	$712.27
49650 Repair of groin hernia using an endoscope	22	22	$1311.00	$470.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$205.00	$114.51
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$140.00	$79.00
49560 Repair of incisional or abdominal hernia	16	16	$2142.00	$778.00
49568 Placement of mesh to repair incisional or abdominal hernia	15	13	$697.00	$303.32

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036070901

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 Medicaid

036070901 (IL)

Commercial Insurance / Payer ID Medicare (Group Ptan)

206147 (IL)

Commercial Insurance / Payer ID Medicare Railroad (Group)

CA4748 (IL)

Commercial Insurance / Payer ID Medicare (Individual Ptan)

206147263 (IL)

Commercial Insurance / Payer ID Medicare Railroad (Provider)

P01245137 (IL)

Hospital & Practice Group Affiliations

Central Dupage Physician Group

25 N Winfield Rd, Winfield, IL 601901295

Central Dupage Physician Group

1800 N Main St, Wheaton, IL 601873112

Phone: 6309334800

Central Dupage Physician Group

7 Blanchard Cir, Wheaton, IL 601892037

Phone: 6306530848

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Raelene Kennedy Kim , MD

Surgery - Trauma Surgery

NPI 1003047267

Doctor of Medicine (M.D.)

Betty Martinez , PA-C

Physician Assistant

NPI 1154898898

Physician Assistant (Certified)

Elisabeth Vallone , PA-C

Physician Assistant

NPI 1215645585

Physician Assistant (Certified)

Dr. Jeffrey Fronza , MD

Surgery

NPI 1265695258

Doctor of Medicine (M.D.)

Dr. Yolanda Chang , MD

Surgery

NPI 1356644876

Doctor of Medicine (M.D.)

Charles Brady , PA-C

Physician Assistant

NPI 1477227650

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2014

Registered at 7 BLANCHARD CIR, WHEATON, IL 601892037 (Tel: 6306680833)

📍

Updated Business Mailing Address January 27, 2014

Registered at 7 BLANCHARD CIR, STE 104, WHEATON, IL 601892037 (Tel: 6306680833)

👤

Provider Name / Credentials Updated January 27, 2014

Recorded as ANTHONY ALTIMARI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Surgery (License #036070901 in IL)

🟢

Initial NPI Registration & Enumeration February 14, 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: 1235103581

Entity Type:

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

Enumeration Date: February 14, 2006

Last Update: January 27, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7 Blanchard Cir, Ste 104

Wheaton, IL 601892037

Phone: 6306680833

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.