Active NPI 1932306149 Individual Practitioner Male Practitioner

Dr. Paul Thomas Cartwright , MD

Surgery • Tifton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Cartwright, MD is a certified Surgery practicing in Tifton, GA. With approximately 19 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 2007, Dr. Cartwright delivers high-quality medical care to the local community at 1007 GREENFIELD DR.

Dr. Cartwright is affiliated with Tift Regional Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day, 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

1007 Greenfield Dr

Tifton, GA 317943795

Telephone 2293829733

Associated Practice Facility / Clinic

🏢 South Georgia Surgical Clinic Pc Facility NPI 1770544694

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tifton, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -3.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Tifton, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cartwright (19 Years) 19 Yrs

Tifton Specialty Average (22.0 Years) 22.0 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$260.69	$125.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$82.83	$47.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$163.05	$75.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$181.50	$122.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$374.50	$123.72
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$253.00	$85.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$370.00	$117.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	14	$203.17	$75.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$923.57	$123.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$565.55	$165.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	46	$253.00	$86.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	27	$78.00	$21.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$370.00	$116.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$901.00	$130.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$561.00	$155.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$468.00	$130.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$496.00	$164.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	40	$370.00	$123.19
99213 Established patient office or other outpatient visit, typically 15 minutes	46	32	$253.00	$87.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	23	$78.00	$21.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$561.00	$159.15
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$901.00	$128.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	18	$496.00	$174.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	14	$468.00	$126.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$135.00	$37.43
91010 Study of esophagus to assess movement	11	11	$232.00	$64.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	76	60	$253.00	$69.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$370.00	$102.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$901.00	$126.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$561.00	$158.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	12	$78.00	$21.59
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$496.00	$140.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$468.00	$135.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$154.00	$43.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$691.00	$199.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	50	$230.94	$69.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	44	$326.97	$102.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	38	$868.69	$134.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$425.91	$135.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$510.78	$154.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$441.55	$130.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$139.68	$42.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$644.63	$200.86
91010 Study of esophagus to assess movement	15	15	$211.60	$63.24
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	14	14	$272.93	$69.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	46	$262.27	$100.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	49	$818.13	$135.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	36	$132.05	$39.75
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$186.60	$65.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$366.04	$138.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$516.08	$199.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$419.48	$148.12
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	14	13	$245.29	$77.74
91010 Study of esophagus to assess movement	14	14	$327.86	$62.31

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	53	36	$134.00	$40.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	36	$742.11	$124.70
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$168.00	$69.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$255.00	$96.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$397.00	$156.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$346.00	$131.13
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	$500.00	$182.54
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	12	11	$246.00	$81.98
91010 Study of esophagus to assess movement	11	11	$400.00	$65.46
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$4483.00	$1381.69

Medical Specialties & State Licenses

CMS Verified: 2024-03-20

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 65089

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

003134994B (GA)

Medicaid State Provider ID

003134994A (GA)

Commercial Insurance / Payer ID Georgia

65089 (GA)

Commercial Insurance / Payer ID Bcbs

58 1719867 047 (GA)

Commercial Insurance / Payer ID Bcbs

602-03641 (AL)

Hospital & Practice Group Affiliations

Tift Regional Health System Inc

1007 Greenfield Dr, Tifton, GA 317943795

Phone: 2293829733

Secondary Practice Locations

2737 Warm Springs Rd, Building A

Columbus, GA 319046859

Phone: 7066602950

Practice Associates & Co-Workers

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

10 Associated Practitioners

Judy Weaver , APRNBC

Nurse Practitioner - Family

NPI 1063481224

Dr. Forte Mceachin , MD

Surgery

NPI 1194792929

Doctor of Medicine (M.D.)

Lindsey Mccranie Seagraves , NP-C

Nurse Practitioner - Family

NPI 1235588518

Nurse Practitioner (Certified)

Dr. William Davis , MD

Surgery - Vascular Surgery

NPI 1497722193

Doctor of Medicine (M.D.)

Allison Bell , PA

Physician Assistant

NPI 1518257393

Physician Assistant

Courtney Stevens , PA-C

Physician Assistant

NPI 1639423189

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 20, 2024

Registered at 1007 GREENFIELD DR, TIFTON, GA 317943795 (Tel: 2293829733)

📍

Updated Business Mailing Address March 20, 2024

Registered at PO BOX 2650, TIFTON, GA 317932650 (Tel: 2293533422)

✅

NPI Profile Active February 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2017

Registered at 2737 WARM SPRINGS RD, BUILDING A, COLUMBUS, GA 319046859 (Tel: 7066602950)

📍

Updated Business Mailing Address February 02, 2017

Registered at PO BOX 1038, COLUMBUS, GA 319021038 (Tel: 7066602950)

👤

Provider Name / Credentials Updated February 02, 2017

Recorded as PAUL CARTWRIGHT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2017

Surgery (License #65089 in GA)

✅

NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2016

Registered at 2737 WARM SPRINGS RD, BUILDING A, COLUMBUS, GA 319046859 (Tel: 7066602950)

📍

Updated Business Mailing Address September 28, 2016

Registered at PO BOX 1038, COLUMBUS, GA 319021038 (Tel: 7066606410)

👤

Provider Name / Credentials Updated September 28, 2016

Recorded as PAUL CARTWRIGHT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Surgery (License #65089 in GA)

🟢

Initial NPI Registration & Enumeration June 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Paul Cartwright. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1932306149

Entity Type:

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

Enumeration Date: June 29, 2007

Last Update: March 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2650

Tifton, GA 317932650

Phone: 2293533422

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.