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DR. MARTHA L HLAFKA M.D.
NPI 1215162102
Internal Medicine in Springfield, IL

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment
751 N RUTLEDGE ST, SUITE 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7127 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Martha L Hlafka M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARTHA L HLAFKA M.D. (NPI 1215162102) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036-132450) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2009).

NPPES Registry Identity

NPI1215162102
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARTHA L HLAFKACredential: M.D.
Location Address751 N RUTLEDGE ST, SUITE 1100Springfield, IL 62702-4968
Mailing Address751 N Rutledge St, Po Box 19636Springfield, IL 62702-4968 · (217) 545-8000 · Fax (217) 545-7127
Phone(217) 545-8000
Fax(217) 545-7127
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2009
Enumeration DateMay 20, 2009
Last NPPES UpdateAugust 30, 2013
✔ NPI 1215162102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036-132450✔ Licensed in IA · R-8602✔ Licensed in IA · 40070
Definition
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.
751 N RUTLEDGE ST, Springfield, IL 62702
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Other Identifiers 1

Medicare PIN256510160IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Martha L Hlafka M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375707755
PECOS Enrollment IDI20130514000469
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims21 services$104.38 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims20 services$35.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARIAH GURNSEY MD
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
CATHERINE A NARITOKU R.D.
Dietitian, Registered
751 N RUTLEDGE ST, LOWER LEVEL
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
MRS. LUCINDA S BUESCHER M.D.
Dermatology
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3821
JAMES M GILCHRIST MD
Psychiatry & Neurology (Clinical Neurophysiology)
751 N RUTLEDGE ST, STE 3100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. AKSHRA VERMA MD, MS
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
CYNTHIA A MICHAEL MD
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
TILITHA S SHAWGO
Clinical Nurse Specialist (Acute Care)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4421
REBECCA J LARSON MD
Dermatology (MOHS-Micrographic Surgery)
751 N RUTLEDGE ST, SUITE 2300
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Hlafka's NPI number?

The NPI number for Martha Hlafka is 1215162102. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Martha Hlafka located?

Martha Hlafka practices at 751 N Rutledge St Suite 1100, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Martha Hlafka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Martha Hlafka enrolled in Medicare?

Yes. Martha Hlafka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Martha Hlafka accept?

Health plans from Medica list Martha Hlafka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Martha Hlafka affiliated with any hospitals?

According to CMS data, Martha Hlafka is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Martha Hlafka was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.