PAUL DOTHEROW, MD
Gastroenterology Physician · MURFREESBORO, TN
Individual Active NPI 1376076794
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 206 | 5,582 | $271,414 | $100,703 | $80,891 |
| 2023 | 48 | 107 | $32,640 | $9,945 | $7,936 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 67 | $227 | $190 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 65 | $87 | $72 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 52 | $117 | $85 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 51 | $95 | $74 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 38 | $153 | $114 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 24 | $82 | $63 |
| 36415 | Insertion of needle into vein for collection of blood sample | 20 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 15 | $10 | $10 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 14 | $8 | $8 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 14 | $166 | $166 |
| 43450 | Dilation of esophagus | 12 | $34 | $27 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ✓ | MD68305 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.