Brett W Wolters
Orthopaedic Surgery โข Springfield, IL
800 N 1st St
Springfield, IL 627023719
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 3, 2006; this date does not establish years in practice.
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Published CMS data list 786 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 120 service units.
- 73564 โ X-ray of knee, 4 or more views: 113 service units.
- 99214 โ Established patient outpatient office visit: 105 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 12 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 476 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 117 prescription fills, including refills.
- Tramadol Hcl โ 105 prescription fills, including refills.
- Cephalexin โ 69 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 8 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery in Springfield, IL (2024, 16 clinicians with data). Median for this group: 853. Middle half: 739 to 1,654.
Fewer Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: 1,621. Middle half: 500 to 4,448.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,601 in 2020 to 786 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
800 N 1st St
Springfield, IL 627023719
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Springfield Clinic, Llp. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Southern Illinois University School Of Medicine
2001
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
298 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $92,412 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $70,723 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
486 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,937 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $70.09 across 2 records.
By nature of payment
- Food and Beverage: $70.09 across 2 records.
Reporting-company totals
- Stryker Corporation: $55.04 across 1 record.
- Vericel Corporation: $15.05 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Brett Wolters has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Brett Wolters as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery in Springfield, IL (2024, 16 clinicians with data). Median for this group: 853. Middle half: 739 to 1,654.
Fewer Medicare Part B services than 65% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: 1,621. Middle half: 500 to 4,448.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Orthopaedic Surgery in Springfield, IL (2024, 16 clinicians with data). Median for this group: $131,834. Middle half: $77,105 to $174,847.
Close to the middle for clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: $106,401. Middle half: $38,278 to $219,003.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Orthopaedic Surgery in Springfield, IL (2024, 16 clinicians with data). Median for this group: $99,576. Middle half: $59,083 to $132,678.
Close to the middle for clinicians listed under Orthopaedic Surgery in Illinois (2024, 507 clinicians with data). Median for this group: $80,480. Middle half: $28,943 to $165,509.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Springfield, IL (2024, 18 clinicians with data). Median for this group: 285. Middle half: 34 to 429.
More Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 513 clinicians with data). Median for this group: 181. Middle half: 65 to 405.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Springfield, IL (2024, 18 clinicians with data). Median for this group: $1,569. Middle half: $256 to $2,693.
A higher Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Illinois (2024, 513 clinicians with data). Median for this group: $1,214. Middle half: $335 to $3,174.
44 active clinicians are listed under Orthopaedic Surgery with a practice address in Springfield, IL (997 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
0% of these 44 clinicians have the CMS telehealth indicator.
38.6% of these 44 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 51% from 1,601 in 2020 to 786 in 2024.
- 2020: 1,601
- 2021: 1,210
- 2022: 1,069
- 2023: 991
- 2024: 786
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Medicare-allowed amount
Medicare-allowed amount decreased 43% from $163,435 in 2020 to $92,412 in 2024.
- 2020: $163,435
- 2021: $129,650
- 2022: $124,458
- 2023: $125,556
- 2024: $92,412
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Paid by Medicare
Paid by Medicare decreased 42% from $122,471 in 2020 to $70,723 in 2024.
- 2020: $122,471
- 2021: $96,291
- 2022: $93,342
- 2023: $95,484
- 2024: $70,723
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 132% from 205 in 2020 to 476 in 2024.
- 2020: 205
- 2021: 306
- 2022: 398
- 2023: 527
- 2024: 476
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30-day fills
30-day fills increased 133% from 209 in 2020 to 486 in 2024.
- 2020: 209
- 2021: 306
- 2022: 406
- 2023: 527
- 2024: 486
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Part D drug cost
Part D drug cost increased 45% from $1,333 in 2020 to $1,937 in 2024.
- 2020: $1,333
- 2021: $1,867
- 2022: $2,281
- 2023: $3,497
- 2024: $1,937
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $27.53 in 2021 to $70.09 in 2025.
- 2021: $27.53
- 2022: $70.25
- 2023: $28.51
- 2024: $65.63
- 2025: $70.09
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $70.09.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Food and Beverage
In-kind items and services
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SYSTEM 9 CD NXT | General | $55.04 |
| Vericel Corporation |
Food and Beverage
In-kind items and services
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MACI | General | $15.05 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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120 | 98 | $412.00 | $87.98 |
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73564
X-ray of knee, 4 or more views
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113 | 82 | $231.85 | $44.16 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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105 | 85 | $583.60 | $124.34 |
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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95 | 44 | $18.00 | $6.92 |
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73562
X-ray of knee, 3 views
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75 | 58 | $199.16 | $38.31 |
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20610
Aspiration and/or injection of fluid from large joint
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56 | 50 | $361.14 | $68.10 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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48 | 48 | $517.60 | $107.34 |
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73030
X-ray of shoulder, minimum of 2 views
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44 | 28 | $188.23 | $32.86 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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41 | 38 | $50.78 | $16.27 |
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27447
Replacement of knee joint, both sides of knee
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33 | 31 | $8075.36 | $1296.56 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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33 | 33 | $770.64 | $164.57 |
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77073
X-ray for bone length assessment
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23 | 23 | $232.00 | $42.67 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 117 | 590 | $900.85 | 89 |
| Tramadol Hcl | Tramadol Hcl | 105 | 572 | $185.98 | 78 |
| Cephalexin | Cephalexin | 69 | 87 | $307.04 | 60 |
| Oxycodone Hcl | Oxycodone Hcl | 65 | 174 | $127.37 | 62 |
| Amoxicillin | Amoxicillin | 53 | 245 | $94.33 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 36 | 1,225 | $276.72 | 17 |
| Clindamycin Hcl | Clindamycin Hcl | 16 | 16 | $9.23 | โ |
| Meloxicam | Meloxicam | 15 | 450 | $35.52 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-05-19NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207XX0005X
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20070824000795
IL
7214934082
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Springfield Clinic, Llp
747 N Rutledge St, Springfield, IL 627026700
Phone: 2177572257
Springfield Clinic, Llp
747 N Rutlage Baylis Medical Bld, Springfield, IL 627026700
Phone: 2175457722
Springfield Clinic, Llp
800 N 1st St, Springfield, IL 627023719
Phone: 2175287541
Springfield Clinic, Llp
301 N 8th St, Springfield, IL 627011041
Phone: 2175287541
Springfield Clinic, Llp
775 Engineering Ave, Springfield, IL 627035909
Phone: 2175224300
Springfield Clinic, Llp
800 E Carpenter St, Springfield, IL 627025324
Phone: 2175446464
Springfield Clinic, Llp
2200 Wabash Ave, Springfield, IL 627045352
Phone: 2177870727
Springfield Clinic, Llp
1025 S 6th St, Springfield, IL 627032403
Phone: 2175287541
Springfield Clinic, Llp
3501 Old Jacksonville Rd, Springfield, IL 627118358
Phone: 2175287541
Springfield Clinic, Llp
747 N Rutlage Baylis Medical Bld, Springfield, IL 627026700
Phone: 2175457722
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Pediatrics
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated June 03, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Springfield
- Dr. Mark Greatting, MD
- Dr. Daniel Rossi, MD
- Dr. Allison Mayfield, MD
- Dr. Karolyn Senica, MD
- Dr. Diane Hillard-Sembell, MD
- Dr. Christopher Wottowa, MD
Mailing Address
1025 S 6th St
Springfield, IL 627032403
Phone: 2175287541