Active NPI 1447377080 Individual Practitioner Male Practitioner

Dr. Robert Randolph Aderhold , MD

Surgery • Albany, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Aderhold, MD is a certified Surgery practicing in Albany, GA. With approximately 25 years of clinical experience since graduating from Mercer University School Of Medicine in 2001, Dr. Aderhold delivers high-quality medical care to the local community at 605 N WESTOVER BLVD.

Dr. Aderhold is affiliated with Albany Surgical, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

605 N Westover Blvd

Albany, GA 317072188

Telephone 2294344200

Fax 2294341488

Associated Practice Facility / Clinic

🏢 Albany Surgical, P.c. Facility NPI 1023005675

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Albany, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -9.4 yrs vs City Avg

City Avg: 34.4 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

10 Specialists

Practicing in Albany, GA (1046 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Aderhold (25 Years) 25 Yrs

Albany Specialty Average (34.4 Years) 34.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	120	83	$213.00	$84.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	44	$321.00	$119.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	15	$126.00	$46.93
93000 Routine ekg using at least 12 leads including interpretation and report	44	43	$82.00	$13.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$320.00	$101.20
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$316.00	$78.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$498.00	$156.98
45380 Biopsy of large bowel using an endoscope	31	31	$1777.23	$170.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$1467.86	$52.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	15	$124.00	$52.29
43252 Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope	15	15	$1403.00	$150.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$213.00	$84.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	32	$124.00	$52.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$321.00	$119.79
45380 Biopsy of large bowel using an endoscope	38	38	$1568.00	$159.42
99221 Initial hospital inpatient care per day, typically 30 minutes	36	35	$316.00	$79.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	15	$126.00	$47.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$498.00	$153.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$320.00	$103.55
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$82.00	$13.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$1320.00	$25.01
43252 Microscopic examination of esophagus, stomach, and/or upper small bowel using an endoscope	15	14	$1403.00	$152.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	82	$213.00	$84.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	51	$124.00	$52.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	25	$126.00	$36.85
99221 Initial hospital inpatient care per day, typically 30 minutes	42	41	$316.00	$95.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$320.00	$105.78
45380 Biopsy of large bowel using an endoscope	25	25	$1568.00	$170.43
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	$116.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$1320.00	$112.76
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$76.84	$12.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$498.00	$141.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	26	$126.00	$36.98
99213 Established patient office or other outpatient visit, typically 15 minutes	78	57	$213.00	$84.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	58	$124.00	$52.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$320.00	$106.82
45380 Biopsy of large bowel using an endoscope	50	50	$1568.00	$192.86
93000 Routine ekg using at least 12 leads including interpretation and report	49	49	$68.00	$13.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	38	$75.00	$20.46
99221 Initial hospital inpatient care per day, typically 30 minutes	38	37	$316.00	$97.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	32	$321.00	$123.49
46221 Removal of external hemorrhoids by rubber banding	28	13	$898.00	$273.82
36415 Insertion of needle into vein for collection of blood sample	24	21	$15.00	$2.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$498.00	$154.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1320.00	$110.00
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1274.00	$179.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	66	$213.00	$70.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	24	$126.00	$37.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	46	$124.00	$43.05
45380 Biopsy of large bowel using an endoscope	49	49	$1568.00	$189.23
99221 Initial hospital inpatient care per day, typically 30 minutes	39	36	$316.00	$98.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$320.00	$103.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$321.00	$104.45
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$68.00	$16.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$75.00	$21.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$498.00	$152.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1320.00	$106.78
36415 Insertion of needle into vein for collection of blood sample	17	17	$15.00	$2.98
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1274.00	$177.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	123	38	$126.00	$38.49
99213 Established patient office or other outpatient visit, typically 15 minutes	104	67	$213.00	$69.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	80	$124.00	$42.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$320.00	$103.53
45380 Biopsy of large bowel using an endoscope	47	46	$1568.00	$190.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$321.00	$100.07
99221 Initial hospital inpatient care per day, typically 30 minutes	34	32	$316.00	$99.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$1320.00	$106.95
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$68.00	$16.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$498.00	$152.95
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1274.00	$175.90
76536 Ultrasound of head and neck	13	13	$297.00	$106.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$431.00	$133.75
36415 Insertion of needle into vein for collection of blood sample	12	12	$15.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	56	$213.00	$65.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	87	67	$124.00	$39.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	31	$126.00	$35.95
45380 Biopsy of large bowel using an endoscope	44	43	$1568.00	$185.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$320.00	$98.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$321.00	$95.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$431.00	$129.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$1320.00	$98.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$498.00	$153.39
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$68.00	$15.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$632.00	$180.26
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$316.00	$96.45
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$1274.00	$175.23

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	193	102	$124.00	$39.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	20	$126.00	$37.00
45380 Biopsy of large bowel using an endoscope	43	43	$1568.00	$194.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	40	$435.79	$128.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$320.00	$99.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$1320.00	$86.86
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$68.00	$15.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$321.00	$97.29
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$216.00	$68.64
36415 Insertion of needle into vein for collection of blood sample	23	23	$15.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$213.00	$67.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$498.00	$151.95

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 058941

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

585829042B (GA)

Commercial Insurance / Payer ID Medical License

058941 (GA)

Hospital & Practice Group Affiliations

Albany Surgical, P.c.

605 N Westover Blvd, Albany, GA 317072188

Phone: 2294344200114

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dan West , PA

Physician Assistant - Surgical

NPI 1124015748

Physician Assistant

Dr. Scott Holt , MD

Surgery

NPI 1205215399

Doctor of Medicine (M.D.)

Douglass Kurtz , PA-C

Physician Assistant - Surgical

NPI 1245344753

Physician Assistant (Certified)

Leah Martin , ACNP-AG

Nurse Practitioner - Acute Care

NPI 1518450188

ACNPAG

Dr. John Davis , MD

Surgery

NPI 1639280282

Doctor of Medicine (M.D.)

Dr. Augustus Richardson , MD

Surgery

NPI 1659368371

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 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 02, 2016

Registered at 605 N WESTOVER BLVD, ALBANY, GA 317072188 (Tel: 2294344200)

📍

Updated Business Mailing Address June 02, 2016

Registered at 605 N WESTOVER BLVD, ALBANY, GA 317072188 (Tel: 2294344200)

👤

Provider Name / Credentials Updated June 02, 2016

Recorded as ROBERT ADERHOLD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Surgery (License #058941 in GA)

🟢

Initial NPI Registration & Enumeration March 26, 2007

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: 1447377080

Entity Type:

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

Enumeration Date: March 26, 2007

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

605 N Westover Blvd

Albany, GA 317072188

Phone: 2294344200

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.