THOMAS PEPONIS, MD
Colon & Rectal Surgery Physician · WORCESTER, MA
Individual Active NPI 1306376538
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 180 | 592 | $548,914 | $118,284 | $92,099 |
| 2023 | 60 | 130 | $105,417 | $20,957 | $16,896 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 72 | $49 | $38 |
| 46600 | Diagnostic exam of anus using an endoscope | 47 | $119 | $89 |
| 51784 | Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 39 | $65 | $52 |
| 91120 | Test for tone and sensation of rectum and anus | 39 | $518 | $404 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 35 | $163 | $119 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 34 | $127 | $89 |
| G0500 | Moderate 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 monito | 32 | $5 | $4 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 30 | $89 | $66 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 24 | $113 | $86 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 17 | $153 | $115 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 17 | $82 | $65 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | 15 | $213 | $168 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ✓ | 1015489 | MA |
| Surgery Physician | 208600000X | 271242 | MA | |
| Colon & Rectal Surgery Physician | 208C00000X | 70847 | MN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Colon & Rectal Surgery Physician providers in Massachusetts
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See all Colon & Rectal Surgery Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.