Active NPI 1649241365 Individual Practitioner Male Practitioner

Dr. Barry T Hammaker , MD

Surgery • Vail, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Barry Hammaker, MD is a certified Surgery practicing in Vail, CO. With approximately 36 years of clinical experience since graduating from Georgetown University School Of Medicine in 1990, Dr. Hammaker delivers high-quality medical care to the local community at 181 W MEADOW DR.

Dr. Hammaker is affiliated with Vvmc Diversified Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include outpatient office visit, established patient outpatient office visit, biopsy of large bowel 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

181 W Meadow Dr

Vail, CO 816575242

Telephone 9704765036

Associated Practice Facility / Clinic

🏢 Vail Valley Anesthesia, Pc Facility NPI 1992734651

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Vail, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +9.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Vail, CO (635 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hammaker (36 Years) 36 Yrs

Vail Specialty Average (26.5 Years) 26.5 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
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	19	$62.31	$23.94
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$226.00	$91.18
45380 Biopsy of large bowel using an endoscope	25	24	$1450.32	$149.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$333.00	$129.66
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$429.73	$172.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$336.73	$102.94

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	26	19	$317.46	$127.48
45380 Biopsy of large bowel using an endoscope	22	22	$1386.55	$159.71
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$214.00	$88.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	13	$60.00	$23.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$486.85	$167.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$408.62	$180.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$1207.00	$107.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	17	$56.35	$24.32
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$204.00	$93.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$304.73	$115.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$303.60	$131.54
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$208.56	$75.27
45380 Biopsy of large bowel using an endoscope	18	18	$1323.44	$161.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$123.43	$58.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	11	$1153.15	$107.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$461.92	$171.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3341.83	$337.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$196.91	$18.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$448.86	$173.49
99213 Established patient office or other outpatient visit, typically 15 minutes	29	22	$198.24	$94.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$294.86	$116.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$292.71	$134.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	13	$54.38	$24.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	13	$1113.19	$99.81
45380 Biopsy of large bowel using an endoscope	16	16	$1275.75	$182.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$196.00	$72.95
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$377.00	$181.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	17	$196.00	$74.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$447.00	$170.05
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$377.00	$180.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	13	$54.00	$23.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$291.00	$112.83
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$197.00	$77.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$294.00	$111.80
45380 Biopsy of large bowel using an endoscope	12	12	$1271.00	$211.82
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$277.00	$105.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$328.59	$167.80
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$196.85	$75.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$297.41	$110.90
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$953.06	$196.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$234.20	$110.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$304.46	$19.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	17	$207.00	$73.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$325.00	$166.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	12	$57.00	$21.89
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$1086.00	$185.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$225.00	$109.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$296.00	$108.85
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$196.85	$73.76
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$818.00	$104.27
49650 Repair of groin hernia using an endoscope	12	12	$1265.33	$555.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$325.00	$157.50
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$1086.00	$170.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$296.00	$102.46
99213 Established patient office or other outpatient visit, typically 15 minutes	15	11	$196.85	$68.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$225.00	$103.98
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$201.00	$71.74

Medical Specialties & State Licenses

CMS Verified: 2021-06-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO 41106

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

Vvmc Diversified Services

180 S Frontage Rd W, Vail, CO 816575038

Phone: 9704795036

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Reginald Franciose , MD

Surgery

NPI 1154345858

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location June 07, 2021

Registered at 181 W MEADOW DR, VAIL, CO 816575242 (Tel: 9704765036)

✅

NPI Profile Active February 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2017

Registered at 180 SOUTH FRONTAGE ROAD WEST, VAIL, CO 81657 (Tel: 9704765036)

📍

Updated Business Mailing Address February 07, 2017

Registered at PO BOX 40000, VAIL, CO 816587520 (Tel: 9704765036)

👤

Provider Name / Credentials Updated February 07, 2017

Recorded as BARRY HAMMAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2017

Surgery (License #41106 in CO)

✅

NPI Profile Active December 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2008

Registered at 601 E SAINT VRAIN ST, COLORADO SPRINGS, CO 809033024 (Tel: 7192005911)

📍

Updated Business Mailing Address December 22, 2008

Registered at 601 E SAINT VRAIN ST, COLORADO SPRINGS, CO 809033024 (Tel: 7192005911)

👤

Provider Name / Credentials Updated December 22, 2008

Recorded as BARRY HAMMAKER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2008

Surgery (License #41106 in CO)

🟢

Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1649241365

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: June 07, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 40000

Vail, CO 816587520

Phone: 9704765036

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.