THOMAS PEPONIS, MD

Colon & Rectal Surgery Physician · WORCESTER, MA

Individual Active NPI 1306376538

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024180592$548,914$118,284$92,099
202360130$105,417$20,957$16,896

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes72$49$38
46600Diagnostic exam of anus using an endoscope47$119$89
51784Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings39$65$52
91120Test for tone and sensation of rectum and anus39$518$404
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more35$163$119
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more34$127$89
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito32$5$4
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more30$89$66
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more24$113$86
45380Biopsy of large bowel using a flexible endoscope17$153$115
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes17$82$65
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more15$213$168

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Colon & Rectal Surgery Physician208C00000X1015489MA
Surgery Physician208600000X271242MA
Colon & Rectal Surgery Physician208C00000X70847MN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.