Active NPI 1306943725 Individual Practitioner Male Practitioner

Dr. Arthur L Verga , MD

Surgery • Hudson, FL

Professional Overview & Biography Verified Profile Summary

Dr. Arthur Verga, MD is a registered healthcare professional specializing in Surgery in Hudson, FL. Practice services are available at 7543 MEDICAL DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7543 Medical Drive

Hudson, FL 34677

Telephone 7278687800

Fax 7278687866

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hudson, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.6 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Hudson, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	22	$120.00	$38.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$324.00	$113.29
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$220.00	$91.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$414.00	$137.61
46600 Diagnostic examination of the anus using an endoscope	16	14	$128.00	$120.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$615.00	$202.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	30	$220.00	$75.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$324.00	$109.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	20	$120.00	$40.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$615.00	$208.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$321.00	$109.69
46600 Diagnostic examination of the anus using an endoscope	20	19	$128.00	$103.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$162.00	$53.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$495.00	$167.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$315.00	$107.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$324.00	$108.38
99213 Established patient office or other outpatient visit, typically 15 minutes	64	54	$220.00	$73.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	52	$615.00	$205.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	21	$120.00	$40.19
46600 Diagnostic examination of the anus using an endoscope	28	28	$128.00	$95.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$495.00	$165.81
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$162.00	$53.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$321.00	$108.82
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$536.64	$170.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$324.19	$106.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	36	$120.00	$39.59
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$220.00	$71.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	56	$615.26	$204.36
46600 Diagnostic examination of the anus using an endoscope	22	21	$128.00	$88.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	17	$315.59	$100.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$495.24	$164.15
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$248.92	$17.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	94	44	$120.00	$39.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$327.00	$106.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	67	$620.00	$200.93
99213 Established patient office or other outpatient visit, typically 15 minutes	58	42	$220.00	$72.09
46600 Diagnostic examination of the anus using an endoscope	18	18	$128.00	$87.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	17	$320.00	$104.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$497.00	$163.23
47562 Removal of gallbladder using an endoscope	13	13	$2109.00	$651.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$325.00	$106.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$162.00	$53.03

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME49179

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.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License FL ME49179

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

264852100 (FL)

Commercial Insurance / Payer ID Universal Provider Number

06270

Commercial Insurance / Payer ID Blue Shield Provider Num

01455 (FL)

Commercial Insurance / Payer ID Avmed Provider Number

210008

Commercial Insurance / Payer ID Aetna Provider Number

4110909

Commercial Insurance / Payer ID Wellcare Provider Number

240873

Commercial Insurance / Payer ID Railroad Medicare Ptan

220003259

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Laurence Martin , MD

Surgery

NPI 1669432795

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 June 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2016

Registered at 7543 MEDICAL DRIVE, HUDSON, FL 34677 (Tel: 7278687800)

📍

Updated Business Mailing Address June 17, 2016

Registered at 7543 MEDICAL DRIVE, HUDSON, FL 34677 (Tel: 7278687800)

👤

Provider Name / Credentials Updated June 17, 2016

Recorded as ARTHUR VERGA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2016

Surgery (License #ME49179 in FL)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306943725

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: June 17, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7543 Medical Drive

Hudson, FL 34677

Phone: 7278687800

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.