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Orthopedic Surgery • Decatur, IL 62526 • NPI #1386832855

Dr. John Kefalas, MD

2905 N Main St, Suite G, Decatur, IL 62526 • +1-514-555-8919

Medical Education: Accredited U.S. Medical School (Class of 2000)

79 Active CMS HCPCS Codes
4.80/5
Waiting-Room Score
23 patient logs
$218.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Decatur Percentiles

NPI #1386832855 • CBSA Regional • Orthopedic Surgery

Dr. John Kefalas DotMD Verification Badge

Dr. John Kefalas, MD (NPI #1386832855) practices Orthopedic Surgery in Decatur, IL (62526) with sub-specialty concentration in 79 Active CMS HCPCS Codes, recording 7,601 annual CMS services across 856 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (25th Decatur percentile) (+0.19σ vs IL state mean, 80.41th statewide percentile).

Dr. Kefalas's longitudinal care intensity (8.9 billed units per patient across 856 individuals) centers on 99213 (1561 annual units) and 20610 ($70–$96 cash range).

Self-pay new patient consultations with Dr. Kefalas (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.48/5 modern protocol openness score across 23 patient logs.

NPI registry verification (#1386832855) confirms Dr. John Kefalas's MD standing serving CBSA 62526 with a 4.80/5 patient scorecard.

Decatur Percentile 25.00th

Compared against Decatur, IL Orthopedic Surgery peers

IL State Percentile 80.41th

7,601 annual services across 856 beneficiaries

Regional Volume Z-Score +0.191σ

Standard deviations from IL Orthopedic Surgery mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99213 Focused Orthopedic Joint & Spine Mobility Evaluation 1,561 25th $66 – $90
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 1,171 24th $70 – $96
73562 Radiologic Weight-Bearing 3-View Knee Examination 824 30th $39 – $54
99203 New Patient Musculoskeletal Injury & Surgical Triage 477 26th $94 – $129
27447 Total Knee Arthroplasty Joint Reconstruction 304 27th $608 – $833
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (79 HCPCS billing breadth) 3,265 25th $74 – $107
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Dr. John Kefalas, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Kefalas National Provider Identifier NPI #1386832855 (MD) CMS NPPES Registry (62526)
Dr. Kefalas Decatur CMS Volume Rank 25.00th Pct (7,601 CMS svcs; Z +0.191σ) CMS Medicare Part B (IL Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $218.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Decatur, IL)
Waiting-Room Wait Time & Cash Friendliness $218.00 avg paid • 9 min lobby wait 23 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.72/5 Listening • 4.48/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
9 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $218.00
Listens Without Rushing
4.72/5
Patient communication rating
Modern Protocol Openness
4.48/5
Preventive labs, GLP-1s & HRT
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