The answer
Checked by our team for each order against the state licensing board and the certifying board.
NPPES lists [name masked] ([city masked], IL), NPI [NPI masked], first registered 2000s and last updated 2020s. For 2024, Medicare publishes [withheld] procedure and service codes billed under this NPI, each given to at least 11 Medicare patients. The most frequent, leaving out drug codes: 99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more ([withheld] services; middle half of the 666 Orthopedic Surgery clinicians in Illinois who billed it: 66.3–283); 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more ([withheld] services; middle half of the 621 Orthopedic Surgery clinicians in Illinois who billed it: 56–203); [withheld: a further code, in the report you buy]. [withheld: how this clinician's volume compares with peers, code by code, is in the report you buy]
Companies reported [withheld] general payment records totalling $0–$24,999 in 2024–2025; the largest share was “[withheld]” ([withheld]).
Figures are exactly as NPPES, CMS, Open Payments and the boards publish them. Medicare volume isn't a measure of quality or outcomes, and this report doesn't rate or rank any clinician.
This report is not a consumer report under the Fair Credit Reporting Act and must not be used to decide eligibility for employment, credit, insurance, housing or any other FCRA purpose.
Identity (NPPES registry)
| Field | As NPPES lists it |
|---|---|
| Name as registered | [name masked] |
| NPI | [NPI masked] |
| Practice location | [city masked], IL [ZIP masked] |
| First registered | 2000s |
| Record last updated | 2020s |
| Deactivated | — |
| Reactivated | — |
| Taxonomy code | Primary | Licence number (as entered in NPPES) | Licence state |
|---|---|---|---|
| 207X00000X | Yes | [licence masked] | IL |
NPPES details are entered by the clinician and may be out of date. Taxonomy codes are the national provider taxonomy codes the clinician chose; their descriptions aren't included here. Street addresses and phone numbers aren't included.
State licence and discipline
Board certification
Medicare volume, 2024
Industry payments (Open Payments)
Questions before your surgery
What this report doesn't cover
- Medicare volumes cover fee-for-service Part B patients in 2024 only. A code billed under this NPI may have involved other clinicians, and volume isn't a measure of quality or outcomes.
- NPPES details were last updated by the clinician on 2020s and may be out of date.
- Licence status and board certification are as each board's website showed them when checked; malpractice history and hospital privileges aren't included.
- Not medical or legal advice. CivicDelta doesn't recommend, rate or rank clinicians. Not for use in credentialing decisions.
- This report is not a consumer report under the Fair Credit Reporting Act and must not be used to decide eligibility for employment, credit, insurance, housing or any other FCRA purpose.
- Absence of a record is not evidence that nothing happened.
Official sources and capture dates
| Dataset | Publisher | Dataset ID | Loaded | Load run |
|---|---|---|---|---|
| Medicare Physician & Other Practitioners - by Provider and Service, 2024 (all states) | Centers for Medicare & Medicaid Services (CMS) | Medicare_Prov_Svc_2024_US.csv.gz | 2026-09-14 | 20260914T150315Z-1e63129f |
| NPPES National Provider Identifier (NPI) Registry - Monthly Full Replacement File (V2) | Centers for Medicare & Medicaid Services (CMS), NPPES | current file listed on NPI_Files.html | 2026-09-14 | 20260914T055033Z-dc47a0a2 |
| Open Payments - General Payment Data (program years 2024-2025) | Centers for Medicare & Medicaid Services (CMS), Open Payments | e6b17c6a-2534-4207-a4a1-6746a14911ff | 2026-09-14 | 20260914T060141Z-e307c622 |
| Open Payments - Ownership and Investment Interest Data (program years 2024-2025) | Centers for Medicare & Medicaid Services (CMS), Open Payments | 9ac4f7f8-b6e4-4d80-8410-4aba7e71dd02 | 2026-09-14 | 20260914T053950Z-30e6dd91 |
| Open Payments - Covered Recipient (Physician and Non-Physician Practitioner) Profile Information | Centers for Medicare & Medicaid Services (CMS), Open Payments | 6ed6ae76-2999-49da-b0b2-d7df150ac754 | 2026-09-14 | 20260914T053953Z-df2da38f |
| Open Payments - Research Payment Data (program years 2024-2025) | Centers for Medicare & Medicaid Services (CMS), Open Payments | 2f15cb85-8887-4dcc-a318-1f8ec1d815b3 | 2026-09-14 | 20260914T054357Z-45286dc1 |
Every figure in this document comes from these datasets as loaded on the dates shown (UTC). Values are exactly as the publisher released them; you can check each one on the publisher's own site.