DIANE C. HILLARD-SEMBELL M.D.
NPI 1972600294
Orthopaedic Surgery in Springfield, IL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
800 N. 1ST STREET, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane C. Hillard-sembell M.d. NPPES

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

DIANE C. HILLARD-SEMBELL M.D. (NPI 1972600294) is an individual orthopaedic surgery provider in Springfield, Illinois, licensed in Illinois (036-076412) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1986).

NPPES Registry Identity

NPI1972600294
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDIANE C. HILLARD-SEMBELLCredential: M.D.
Location Address800 N. 1ST STREETSpringfield, IL 62702
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541 · Fax (217) 528-8962
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1986
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
NPI 1972600294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036-076412
Definition
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 036076412 (IL)
800 N. 1ST STREET, Springfield, IL 62702

Other Names 1

Former Name (1)Diane C. Hillard

Other Identifiers 1

Medicaid036076412IL

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

Diane C. Hillard-sembell 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 ID345211009
PECOS Enrollment IDI20040804001843
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
31 services14 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
29 services18 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
21 services18 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
21 services21 patients

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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Rheumatology)
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Urology
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Surgery
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Psychiatry & Neurology (Neurology)
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Chiropractor
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
800 N. 1ST STREET
SPRINGFIELD, IL 62702
Surgery (Vascular Surgery)
800 N. 1ST STREET
SPRINGFIELD, IL 62702

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 Diane Hillard-sembell's NPI number?

The NPI number for Diane Hillard-sembell is 1972600294. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Diane C. Hillard.

Where is Diane Hillard-sembell located?

Diane Hillard-sembell practices at 800 N. 1st Street, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Diane Hillard-sembell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Diane Hillard-sembell enrolled in Medicare?

Yes. Diane Hillard-sembell 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.

When was this NPI record last updated?

The NPPES record for Diane Hillard-sembell was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.