Active NPI 1962427195 Individual Practitioner Male Practitioner

Dr. Gerald Thomas Needham , DO

Internal Medicine - Nephrology • Clearwater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Needham, DO is a certified Internal Medicine - Nephrology practicing in Clearwater, FL. With approximately 31 years of clinical experience since graduating from Mid West Medical College in 1995, Dr. Needham delivers high-quality medical care to the local community at 1305 S FORT HARRISON AVE.

Dr. Needham accepts Medicare assignment.

Frequently performed procedures and clinical services include dialysis services, per day, less than full month service (20 years or older), established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1305 S Fort Harrison Ave
Building H

Clearwater, FL 337563301

Telephone 7274410104

Fax 7274418272

Associated Practice Facility / Clinic

🏢 Lisa Whims-Squires, D.o., Pa Facility NPI 1477592426

Medicare Profile & Education

Medical School

Mid West Medical College

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Clearwater, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +5.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Clearwater, FL (865 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Needham (31 Years) 31 Yrs

Clearwater Specialty Average (26.0 Years) 26.0 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
90970 Dialysis services, per day, less than full month service (20 years or older)	718	11	$25.00	$9.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	186	$200.00	$132.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	264	95	$200.00	$123.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	210	88	$150.00	$82.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	65	$300.00	$179.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	62	41	$300.00	$186.72
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$150.00	$93.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$300.00	$172.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	15	$200.00	$136.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	504	13	$25.00	$9.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	175	$200.00	$127.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	305	84	$200.00	$120.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	74	$150.00	$80.03
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	79	16	$500.00	$353.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	47	$300.00	$178.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	56	$300.00	$175.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$300.00	$166.98
36415 Insertion of needle into vein for collection of blood sample	44	32	$10.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$150.00	$89.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	19	$50.00	$22.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$200.00	$132.02
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$400.00	$220.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	717	15	$25.00	$9.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	291	151	$200.00	$127.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	209	71	$200.00	$103.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	161	61	$150.00	$72.04
36415 Insertion of needle into vein for collection of blood sample	99	39	$10.00	$2.96
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	94	17	$500.00	$362.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	64	30	$50.00	$22.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	25	$300.00	$182.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	38	$300.00	$200.03
99213 Established patient office or other outpatient visit, typically 15 minutes	35	31	$150.00	$91.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$300.00	$169.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	24	$200.00	$132.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	481	11	$23.25	$9.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	288	70	$194.17	$105.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	264	83	$143.18	$73.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	135	$181.91	$130.95
36415 Insertion of needle into vein for collection of blood sample	126	50	$10.00	$3.00
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	108	15	$488.43	$367.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	88	38	$42.33	$22.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	40	$270.66	$184.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	50	$296.73	$203.96
99213 Established patient office or other outpatient visit, typically 15 minutes	55	49	$131.33	$92.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$279.30	$171.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	25	$199.06	$138.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$179.20	$114.32
99220 Hospital observation care, typically 70 minutes	11	11	$277.27	$185.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	1,108	21	$20.00	$8.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	381	100	$144.00	$107.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	230	122	$137.00	$110.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	197	79	$100.00	$73.95
36415 Insertion of needle into vein for collection of blood sample	127	57	$10.00	$2.98
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	113	21	$450.00	$292.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	72	$272.00	$207.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	93	44	$27.00	$22.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	30	$186.00	$147.92
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$91.21	$75.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$212.00	$167.92
99220 Hospital observation care, typically 70 minutes	23	20	$250.00	$190.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	17	$185.00	$142.87
99226 Subsequent observation care, typically 35 minutes per day	18	13	$150.00	$107.18
90935 Hemodialysis procedure with physician evaluation	16	12	$99.00	$75.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$138.00	$109.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	940	20	$19.76	$7.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	492	137	$144.00	$105.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	145	$137.00	$108.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	250	86	$100.00	$74.11
36415 Insertion of needle into vein for collection of blood sample	156	65	$10.00	$2.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	127	47	$27.00	$22.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	118	78	$272.00	$206.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	62	$186.00	$145.18
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	107	17	$450.00	$288.15
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$91.00	$74.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$212.00	$165.94
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	25	11	$350.00	$241.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$185.00	$139.86
90935 Hemodialysis procedure with physician evaluation	23	15	$99.00	$74.81
99220 Hospital observation care, typically 70 minutes	15	15	$250.00	$189.01
99226 Subsequent observation care, typically 35 minutes per day	14	13	$150.00	$106.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$268.00	$191.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	989	17	$20.00	$7.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	446	120	$144.00	$104.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	280	106	$100.16	$72.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	138	$137.00	$106.58
36415 Insertion of needle into vein for collection of blood sample	158	62	$10.00	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	134	67	$186.00	$141.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	86	$272.00	$203.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	115	48	$27.00	$21.05
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	81	15	$450.00	$283.11
99213 Established patient office or other outpatient visit, typically 15 minutes	45	36	$91.00	$72.30
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	43	16	$350.00	$234.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$212.00	$164.15
90962 Dialysis services, 1 physician visit per month (20 years or older)	25	11	$300.00	$183.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	16	$185.00	$137.97
90935 Hemodialysis procedure with physician evaluation	16	13	$99.00	$73.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$268.00	$193.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	487	11	$19.33	$7.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	456	119	$144.00	$104.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	368	126	$100.23	$72.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	145	$137.00	$106.09
36415 Insertion of needle into vein for collection of blood sample	143	58	$10.00	$2.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	112	59	$186.00	$141.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	105	75	$272.00	$203.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	84	42	$27.00	$19.69
99213 Established patient office or other outpatient visit, typically 15 minutes	71	57	$91.00	$72.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$185.00	$137.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$212.00	$163.15

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License FL OS7262

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Lourdes Santiago , MD

Colon & Rectal Surgery

NPI 1063630259

Doctor of Medicine (M.D.)

Dr. Anmarie Moore , MD

Internal Medicine - Gastroenterology

NPI 1174734297

Doctor of Medicine (M.D.)

Dr. Jody Berner , MD

Internal Medicine - Gastroenterology

NPI 1245280395

Doctor of Medicine (M.D.)

Dr. Dennis College , MD

Internal Medicine - Pulmonary Disease

NPI 1285630806

Doctor of Medicine (M.D.)

Amanda Lipscomb , PA-C

Physician Assistant - Medical

NPI 1316207186

Physician Assistant (Certified)

Dr. Sam Stieglitz , MD

Dermatology

NPI 1750561486

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 January 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2008

Registered at 1305 S FORT HARRISON AVE, BUILDING H, CLEARWATER, FL 337563301 (Tel: 7274410104)

📍

Updated Business Mailing Address January 06, 2008

Registered at 1305 S FORT HARRISON AVE, BUILDING H, CLEARWATER, FL 337563301 (Tel: 7274410104)

👤

Provider Name / Credentials Updated January 06, 2008

Recorded as GERALD NEEDHAM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2008

Internal Medicine (License #OS7262 in FL)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962427195

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: January 06, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1305 S Fort Harrison Ave, Building H

Clearwater, FL 337563301

Phone: 7274410104

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.