DOUGLAS THORNTON, DO
Surgery Physician · ADA, OK
Individual Active NPI 1780071571
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 337 | 1,078 | $400,125 | $137,795 | $104,670 |
| 2023 | 274 | 717 | $281,564 | $106,822 | $80,884 |
| 2022 | 345 | 957 | $300,179 | $123,940 | $94,126 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 121 | $51 | $35 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 93 | $86 | $64 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 84 | $83 | $56 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 76 | $102 | $58 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 56 | $132 | $103 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 40 | $32 | $24 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 38 | $233 | $170 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 36 | $115 | $86 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | $122 | $97 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 33 | $53 | $42 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 33 | $134 | $105 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 32 | $152 | $107 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ✓ | 6896 | OK |
| Surgery Physician | 208600000X | 5101021524 | MI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Surgery Physician providers in Oklahoma
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- NPI 1518996958
- NPI 1801030440
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.