Active NPI 1316928070 Individual Practitioner Male Practitioner

Dr. Benjamin D Shadle , MD

Surgery • Roseville, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Shadle, MD is a certified Surgery practicing in Roseville, CA. With approximately 21 years of clinical experience since graduating from Ohio State University College Of Medicine in 2005, Dr. Shadle delivers high-quality medical care to the local community at 3 MEDICAL PLAZA.

Dr. Shadle is affiliated with Sutter Valley Medical Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, repair of hernia of muscle at esophagus and stomach using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Medical Plaza
Suite 200

Roseville, CA 95661

Telephone 9167738750

Fax 9167737963

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roseville, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -0.2 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

37 Specialists

Practicing in Roseville, CA (3346 Statewide)

Telehealth Adoption Rate

5.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shadle (21 Years) 21 Yrs

Roseville Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	29	$345.00	$120.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	63	$357.00	$127.63
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	35	35	$4099.89	$822.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$542.00	$167.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	24	$663.00	$175.91
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	23	$1275.00	$94.58
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$243.00	$88.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	27	$345.00	$123.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	50	$343.00	$133.61
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	31	$1226.00	$91.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	24	$663.00	$178.53
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	25	25	$3835.48	$828.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$521.00	$168.51
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$234.00	$92.77
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1390.00	$142.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	56	$333.00	$133.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	28	$338.00	$105.33
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	42	$1202.00	$76.21
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	43	43	$3264.01	$780.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	29	$650.00	$199.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$506.00	$175.46
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$227.00	$95.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$67.00	$25.06
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$1363.00	$143.05
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$2619.18	$271.06
44202 Partial removal of small bowel using an endoscope	11	11	$2607.22	$468.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	74	$323.00	$134.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	24	$328.00	$107.08
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	47	46	$4164.75	$945.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$631.00	$201.39
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$1211.62	$74.39
99213 Established patient office or other outpatient visit, typically 15 minutes	24	20	$220.00	$97.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$491.00	$177.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$65.00	$24.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$309.00	$115.18
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$208.00	$76.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$470.00	$170.44
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	29	29	$5060.42	$1287.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$132.00	$47.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$591.00	$213.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	12	$305.00	$110.25
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1201.20	$105.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	66	$132.00	$47.29
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$208.00	$76.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	34	$309.00	$108.64
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	33	32	$5583.87	$1287.46
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	21	$1183.00	$76.13
43644 Bypass operation of stomach using an endoscope	15	15	$6279.63	$1667.22
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$5123.56	$607.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$470.00	$172.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	83	$301.00	$105.19
99213 Established patient office or other outpatient visit, typically 15 minutes	83	63	$202.00	$71.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	51	$128.00	$44.49
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	43	$1151.00	$64.02
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	35	35	$5369.00	$1288.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$458.00	$160.75
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	26	26	$4964.88	$643.73
43644 Bypass operation of stomach using an endoscope	12	12	$6433.07	$1624.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	76	$294.00	$107.88
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$197.00	$74.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$447.00	$165.52
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	29	29	$5366.79	$1284.60
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$1127.00	$64.37
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	15	15	$4994.13	$627.20

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A99595

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Sutter Valley Medical Foundation

2800 L St, Sacramento, CA 958165616

Sutter Valley Medical Foundation

250 W Main St, Woodland, CA 956953652

Phone: 9166686100

Sutter Valley Medical Foundation

1 Medical Plaza Dr, Roseville, CA 956613037

Phone: 9164546868

Sutter Valley Medical Foundation

2 Medical Plaza Dr, Roseville, CA 956613042

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Sterling Humphrey , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1033346465

Doctor of Medicine (M.D.)

Dr. Stephen Maxwell , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1043223936

Doctor of Medicine (M.D.)

Dr. Leighton Belden , MD

Surgery

NPI 1053799874

Doctor of Medicine (M.D.)

Dr. Shumaila Syed , MD

Surgery

NPI 1114341732

Doctor of Medicine (M.D.)

Dr. Jay Owens , MD

Surgery - Surgical Oncology

NPI 1124124722

Doctor of Medicine (M.D.)

Dr. Dmitri Gelfand , MD

Surgery - Vascular Surgery

NPI 1205093176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2016

Registered at 3 MEDICAL PLAZA, SUITE 200, ROSEVILLE, CA 95661 (Tel: 9167738750)

📍

Updated Business Mailing Address October 19, 2016

Registered at 10470 OLD PLACERVILLE ROAD, SUITE 100, SACRAMENTO, CA 958272539 (Tel: 8004700071)

👤

Provider Name / Credentials Updated October 19, 2016

Recorded as BENJAMIN SHADLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Surgery (License #A99595 in CA)

🟢

Initial NPI Registration & Enumeration November 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316928070

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 09, 2005

Last Update: October 19, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

10470 Old Placerville Road, Suite 100

Sacramento, CA 958272539

Phone: 8004700071

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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