Active NPI 1023081437 Individual Practitioner Male Practitioner

Dr. Vincent S Culpepper , MD

Surgery • Cordele, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Culpepper, MD is a certified Surgery practicing in Cordele, GA. With approximately 29 years of clinical experience since graduating from Mercer University School Of Medicine in 1997, Dr. Culpepper delivers high-quality medical care to the local community at 1329 N 5TH STREET EXT.

Dr. Culpepper is affiliated with Crisp Regional Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, 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

1329 N 5th Street Ext

Cordele, GA 310153753

Telephone 2292762286

Fax 2292762289

Associated Practice Facility / Clinic

🏢 Cordele Personal Care Home Facility NPI 1487184388

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cordele, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +6.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Cordele, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Culpepper (29 Years) 29 Yrs

Cordele Specialty Average (22.1 Years) 22.1 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	40	39	$257.00	$84.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	31	$379.00	$123.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	24	$230.00	$74.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$160.00	$52.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$145.00	$46.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$320.00	$104.03
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$242.00	$78.64

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	80	35	$183.75	$75.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	52	$325.87	$124.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	31	$121.08	$52.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	18	$121.89	$47.60
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$167.52	$84.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$235.67	$113.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	35	$110.00	$85.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	32	$130.00	$67.76
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$180.00	$96.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	18	$93.00	$37.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$180.00	$97.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$257.00	$128.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$80.00	$53.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$106.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$260.00	$157.91

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	75	41	$130.00	$68.31
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$110.00	$85.81
99221 Initial hospital inpatient care per day, typically 30 minutes	19	17	$180.00	$92.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$200.00	$106.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	13	$180.00	$99.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$170.00	$123.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$80.00	$52.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$260.00	$160.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$110.00	$71.46
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$180.00	$100.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	17	$93.00	$38.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$130.00	$70.87
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$125.00	$72.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	32	$101.44	$38.48
99213 Established patient office or other outpatient visit, typically 15 minutes	54	45	$110.00	$70.55
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$194.26	$99.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	19	$134.03	$70.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$170.00	$101.26
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$125.00	$72.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$200.00	$103.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$80.00	$42.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	44	$126.00	$47.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	32	$155.00	$72.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	45	$96.50	$37.26
11042 Removal of skin and tissue, 20.0 sq cm or less	60	28	$141.27	$56.13
99213 Established patient office or other outpatient visit, typically 15 minutes	56	44	$103.04	$66.20
99221 Initial hospital inpatient care per day, typically 30 minutes	47	44	$186.38	$96.45
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	22	13	$295.00	$133.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$155.26	$99.68
11044 Removal of bone, 20.0 sq cm or less	17	11	$428.59	$211.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$76.25	$40.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$100.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	424	108	$126.00	$47.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	36	$155.00	$73.88
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	68	25	$287.76	$143.95
11042 Removal of skin and tissue, 20.0 sq cm or less	65	35	$138.00	$57.03
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$100.00	$65.95
11044 Removal of bone, 20.0 sq cm or less	40	16	$390.90	$218.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$93.00	$37.00
93288 Evaluation of single, dual, multiple lead or leadless pacemaker system	19	14	$75.00	$21.72
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$132.00	$47.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$150.00	$98.92

Medical Specialties & State Licenses

CMS Verified: 2021-01-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 046072

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

000978667B (GA)

Medicaid State Provider ID

000978667C (GA)

Medicaid State Provider ID

000978667A (GA)

Hospital & Practice Group Affiliations

Crisp Regional Hospital Inc

902 N 7th St, Cordele, GA 310153234

Phone: 2292763100

Secondary Practice Locations

902 N 7th St

Cordele, GA 310153234

Phone: 2292763100

Practice Associates & Co-Workers

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

2 Associated Practitioners

Candace Smith , FNP-C

Nurse Practitioner - Family

NPI 1013149574

Family Nurse Practitioner (Certified)

Dr. Robert Bartosh , MD

Orthopaedic Surgery

NPI 1487757928

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 25, 2021

Registered at 1329 N 5TH STREET EXT, CORDELE, GA 310153753 (Tel: 2292762286)

📍

Updated Business Mailing Address January 25, 2021

Registered at 307 E 3RD AVE, CORDELE, GA 310153208 (Tel: 2292714656)

✅

NPI Profile Active November 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2014

Registered at 416 A FOURTH AVE E, CORDELE, GA 31015 (Tel: 2292739050)

📍

Updated Business Mailing Address November 10, 2014

Registered at 416 E 4TH AVE STE A, CORDELE, GA 310153729 (Tel: 2292739050)

👤

Provider Name / Credentials Updated November 10, 2014

Recorded as VINCENT CULPEPPER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2014

Surgery (License #046072 in GA)

🟢

Initial NPI Registration & Enumeration February 08, 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: 1023081437

Entity Type:

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

Enumeration Date: February 08, 2006

Last Update: January 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

307 E 3rd Ave

Cordele, GA 310153208

Phone: 2292714656

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.