Active NPI 1184676520 Individual Practitioner Male Practitioner

Dr. Steven W Paynter , MD

Surgery • Dalton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Paynter, MD is a certified Surgery practicing in Dalton, GA. With approximately 43 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1983, Dr. Paynter delivers high-quality medical care to the local community at 1504 BROADRICK DR.

Dr. Paynter is affiliated with Hamilton Physician Group, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level 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

1504 Broadrick Dr

Dalton, GA 30720

Telephone 7062786403

Fax 7062780087

Associated Practice Facility / Clinic

🏢 Dalton Surgical Group Pc Facility NPI 1811005143

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dalton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +10.7 yrs vs City Avg

City Avg: 32.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Dalton, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paynter (43 Years) 43 Yrs

Dalton Specialty Average (32.3 Years) 32.3 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	27	26	$192.00	$83.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$388.00	$151.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$284.00	$114.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$242.00	$107.76

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	26	26	$325.00	$155.60
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$150.88	$85.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$217.35	$98.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$277.68	$121.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$219.06	$121.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$92.00	$53.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$85.50	$45.17
47562 Removal of gallbladder using an endoscope	11	11	$1769.45	$588.22

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	51	51	$215.00	$101.09
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$145.00	$83.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	24	$80.00	$36.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$215.00	$113.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$272.00	$129.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$325.00	$159.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$90.00	$50.92
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$205.00	$90.41
47562 Removal of gallbladder using an endoscope	17	17	$1700.00	$648.35
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$150.00	$68.61
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	14	14	$4100.00	$1625.71
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$900.00	$291.34
19301 Partial removal of breast	13	11	$1400.00	$546.52
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$608.00	$260.60
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1200.00	$453.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	31	$80.00	$35.03
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$145.00	$85.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$215.00	$105.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$325.00	$150.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$215.00	$121.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$90.00	$52.96
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$150.00	$68.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$272.00	$123.09
47562 Removal of gallbladder using an endoscope	17	17	$1903.00	$559.84
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$205.00	$86.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$145.00	$69.12
49568 Placement of mesh to repair incisional or abdominal hernia	13	12	$577.85	$262.31
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$3943.00	$1727.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$145.00	$69.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$325.00	$154.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$215.00	$100.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$80.00	$35.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$145.00	$71.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$90.00	$40.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$272.00	$126.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$404.00	$185.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$215.00	$102.74
47562 Removal of gallbladder using an endoscope	12	12	$1903.00	$568.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$145.00	$68.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	33	$90.00	$41.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$215.00	$103.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$215.00	$91.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	22	$80.00	$37.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$325.00	$147.95
47562 Removal of gallbladder using an endoscope	21	21	$1903.00	$631.30
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	18	18	$3943.00	$1664.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$404.00	$176.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$866.00	$86.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$875.00	$325.93
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$77.00	$17.48
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$150.00	$70.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	77	$119.44	$65.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$232.59	$96.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	32	$93.57	$36.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$367.74	$158.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$198.34	$101.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	25	$151.32	$67.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$81.67	$39.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$315.63	$190.76
47562 Removal of gallbladder using an endoscope	28	28	$2533.86	$646.10
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$161.48	$71.49
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2791.67	$326.03
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$133.15	$18.34
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$3882.67	$1348.00
49505 Repair of groin hernia (5 years or older)	12	12	$1618.17	$560.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	99	58	$93.09	$36.04
99213 Established patient office or other outpatient visit, typically 15 minutes	81	71	$109.07	$67.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$234.49	$99.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	37	$155.57	$68.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	58	$306.50	$192.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$349.49	$153.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	36	$72.05	$40.23
47562 Removal of gallbladder using an endoscope	31	31	$3007.00	$616.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$169.67	$99.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$246.00	$132.84
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$158.29	$70.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$230.77	$126.95

Medical Specialties & State Licenses

CMS Verified: 2024-01-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 30853

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME163818

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00370433A (GA)

Hospital & Practice Group Affiliations

Hamilton Physician Group, Inc

1504 Broadrick Dr, Dalton, GA 307203011

Phone: 7062786403

Secondary Practice Locations

60 Memorial Medical Pkwy

Palm Coast, FL 321645980

Phone: 3865862000

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Rodovaldo Rodriguez , MD

Surgery

NPI 1013998905

Doctor of Medicine (M.D.)

Dr. Jaime Ponce-Portugal , MD

Surgery

NPI 1245280023

Doctor of Medicine (M.D.)

Dr. Eric Manahan , MD

Surgery

NPI 1295785194

Doctor of Medicine (M.D.)

Donna Johnson , MSN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1306694781

Master of Science in Nursing, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Holly Cochran , FNP-C

Nurse Practitioner

NPI 1427736727

Family Nurse Practitioner (Certified)

Dr. Richard Fromm , MD

Surgery

NPI 1477503258

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2023

Surgery (License #ME163818 in FL)

📍

Updated Practice Location July 18, 2018

Registered at 1504 BROADRICK DR, DALTON, GA 30720 (Tel: 7062786403)

📍

Updated Business Mailing Address July 18, 2018

Registered at 1504 BROADRICK DR, DALTON, GA 307203011 (Tel: 7062786403)

✅

NPI Profile Active June 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2010

Registered at 1504 BROADRICK DR, DALTON, GA 307203011 (Tel: 7062786403)

📍

Updated Business Mailing Address June 15, 2010

Registered at 1504 BROADRICK DR, PO BOX 1969, DALTON, GA 307203011 (Tel: 7062786403)

👤

Provider Name / Credentials Updated June 15, 2010

Recorded as STEVEN PAYNTER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2010

Surgery (License #30853 in GA)

🟢

Initial NPI Registration & Enumeration May 16, 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: 1184676520

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: January 25, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1504 Broadrick Dr

Dalton, GA 307203011

Phone: 7062786403

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.