Active NPI 1972595775 Individual Practitioner Male Practitioner

Dr. John A Egelhofer , MD

Internal Medicine • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. John Egelhofer, MD is a registered healthcare professional specializing in Internal Medicine in Springfield, MA. Practice services are available at 300 BIRNIE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, anticoagulant management of patient taking warfarin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Birnie Ave
Ste 102

Springfield, MA 011071107

Telephone 4137344206

Fax 4137378882

Associated Practice Facility / Clinic

🏢 Chestnut Medical Associates, Inc Facility NPI 1679565543

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate

16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.7% 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 (2019)

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	731	412	$249.67	$113.26
99213 Established patient office or other outpatient visit, typically 15 minutes	650	336	$170.00	$77.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	384	384	$140.00	$121.10
93793 Anticoagulant management of patient taking warfarin	249	29	$25.00	$12.61
93000 Routine ekg using at least 12 leads including interpretation and report	202	193	$65.00	$17.93
82947 Blood glucose (sugar) level	169	92	$12.00	$4.28
G0008 Administration of influenza virus vaccine	159	157	$40.09	$17.42
83036 Hemoglobin A1C level	144	87	$35.96	$10.57
90662 Influenza vaccine split virus, preservative free	143	141	$62.87	$53.90
85610 Blood test, clotting time	116	26	$20.00	$4.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	78	57	$140.00	$55.64
36415 Insertion of needle into vein for collection of blood sample	76	64	$6.00	$2.94
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	66	32	$130.00	$112.15
81003 Automated urinalysis test	53	46	$15.00	$2.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	40	$110.00	$46.49
G0009 Administration of pneumococcal vaccine	44	44	$35.34	$17.42
99496 Transitional care management services for problem of high complexity	34	27	$292.94	$241.67
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$176.67	$110.52
69209 Removal of impacted ear wax by washing	26	23	$40.00	$15.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	13	$100.00	$43.22
99495 Transitional care management services for problem of at least moderate complexity	22	21	$250.00	$164.72
90670 Pneumococcal vaccine for injection into muscle	19	19	$221.05	$208.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$313.53	$151.99
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$40.00	$17.48
99497 Advance care planning, first 30 minutes	13	13	$100.00	$88.57

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	727	389	$250.00	$109.14
99213 Established patient office or other outpatient visit, typically 15 minutes	625	330	$170.00	$73.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	379	379	$129.09	$118.45
93000 Routine ekg using at least 12 leads including interpretation and report	224	205	$65.00	$17.30
G0008 Administration of influenza virus vaccine	197	194	$40.15	$21.33
93793 Anticoagulant management of patient taking warfarin	193	30	$25.00	$12.17
90662 Influenza vaccine split virus, preservative free	188	186	$55.00	$51.84
82947 Blood glucose (sugar) level	174	105	$12.00	$4.75
83036 Hemoglobin A1C level	163	104	$36.00	$11.75
85610 Blood test, clotting time	146	25	$20.00	$4.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	74	57	$140.00	$54.68
36415 Insertion of needle into vein for collection of blood sample	71	69	$9.66	$2.94
G0009 Administration of pneumococcal vaccine	55	55	$35.00	$21.55
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	54	31	$130.00	$109.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	18	$50.00	$22.25
81003 Automated urinalysis test	41	39	$15.00	$2.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$110.00	$44.79
99496 Transitional care management services for problem of high complexity	32	30	$266.88	$236.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$129.67	$102.07
90670 Pneumococcal vaccine for injection into muscle	25	25	$207.60	$197.59
69209 Removal of impacted ear wax by washing	21	21	$40.00	$14.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$309.00	$147.03
99495 Transitional care management services for problem of at least moderate complexity	19	17	$250.00	$166.68
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	13	13	$71.00	$27.09
93225 Electrocardiogram (ecg) 2-day continuous	12	12	$84.00	$27.59

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	753	379	$241.93	$107.45
99213 Established patient office or other outpatient visit, typically 15 minutes	712	357	$166.52	$72.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	336	336	$125.00	$116.16
93000 Routine ekg using at least 12 leads including interpretation and report	244	222	$65.00	$17.09
G0008 Administration of influenza virus vaccine	238	234	$40.08	$26.69
90662 Influenza vaccine split virus, preservative free	229	225	$52.90	$47.94
82947 Blood glucose (sugar) level	217	124	$12.00	$5.23
83036 Hemoglobin A1C level	191	116	$36.00	$12.99
85610 Blood test, clotting time	163	32	$20.00	$5.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	110	87	$140.00	$54.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	108	25	$48.83	$20.50
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	82	45	$130.00	$107.74
G0009 Administration of pneumococcal vaccine	82	82	$35.00	$27.42
36415 Insertion of needle into vein for collection of blood sample	80	67	$16.00	$2.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	50	50	$97.90	$93.36
69210 Removal of impacted ear wax	44	41	$84.20	$49.37
81003 Automated urinalysis test	41	38	$15.00	$2.95
99495 Transitional care management services for problem of at least moderate complexity	33	30	$235.91	$164.18
90670 Pneumococcal vaccine for injection into muscle	32	32	$193.75	$185.24
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	23	$100.00	$41.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$298.00	$137.75
99496 Transitional care management services for problem of high complexity	30	29	$250.67	$231.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$104.31	$44.04
85018 Blood count, hemoglobin	16	12	$12.00	$3.18
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$40.00	$17.48

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 44983

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2097869 (MA)

Commercial Insurance / Payer ID Bsbs

Y02233 (MA)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. David Fanti , MD

Internal Medicine

NPI 1396737904

Doctor of Medicine (M.D.)

Dr. James Hession , MD

Internal Medicine

NPI 1588656193

Doctor of Medicine (M.D.)

Dr. Ronald Berger , MD

Internal Medicine

NPI 1649263286

Doctor of Medicine (M.D.)

Andrea Leger , NP

Nurse Practitioner

NPI 1760947410

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 16, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2008

Registered at 300 BIRNIE AVE, STE 102, SPRINGFIELD, MA 011071107 (Tel: 4137344206)

📍

Updated Business Mailing Address April 16, 2008

Registered at 300 BIRNIE AVE, STE 102, SPRINGFIELD, MA 011071107 (Tel: 4137344206)

👤

Provider Name / Credentials Updated April 16, 2008

Recorded as JOHN EGELHOFER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2008

Internal Medicine (License #44983 in MA)

🟢

Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972595775

Entity Type:

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

Enumeration Date: August 17, 2005

Last Update: April 16, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Birnie Ave, Ste 102

Springfield, MA 011071107

Phone: 4137344206

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.