Active NPI 1386640076 Individual Practitioner Male Practitioner

Dr. Gene D Branum , MD

Surgery • Ketchum, ID

Professional Overview & Biography Verified Profile Summary

Dr. Gene Branum, MD is a registered healthcare professional specializing in Surgery in Ketchum, ID. Practice services are available at 180 1ST ST W under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 1st St W
#301

Ketchum, ID 83340

Telephone 2087263707

Associated Practice Facility / Clinic

🏢 Gene D Branum Pc Facility NPI 1164937496

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ketchum, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 20.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Ketchum, ID (187 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.9% 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 (2024)

Reporting Year:

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	34	34	$215.00	$96.95
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$176.48	$78.40
45380 Biopsy of large bowel using an endoscope	19	19	$1348.58	$363.47
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	11	11	$96.82	$47.21
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	11	11	$3020.73	$1992.70

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	66	66	$204.77	$102.74
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$158.75	$83.20
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	39	39	$2748.00	$2218.42
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	28	19	$25.00	$9.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$104.78	$51.79
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1030.59	$279.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$291.00	$153.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$204.00	$121.12

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	65	65	$198.08	$101.89
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$149.06	$83.90
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	38	38	$2776.45	$2343.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$101.29	$51.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$283.00	$154.35
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	27	23	$25.00	$9.30
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	22	$90.00	$45.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$1037.82	$295.70
46221 Removal of external hemorrhoids by rubber banding	12	12	$553.08	$171.05

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	84	84	$174.76	$104.21
99213 Established patient office or other outpatient visit, typically 15 minutes	54	52	$123.96	$85.06
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	40	27	$25.00	$9.33
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	35	35	$818.26	$252.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$174.24	$121.05
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	30	30	$3102.77	$2590.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$256.26	$156.49
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	23	23	$90.00	$46.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$830.93	$318.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$358.00	$90.37
46600 Diagnostic examination of the anus using an endoscope	12	12	$233.00	$110.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$77.00	$52.08

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	85	85	$165.00	$100.70
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	42	42	$556.50	$257.89
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$111.00	$70.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$248.00	$154.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$162.00	$102.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$355.69	$93.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$67.00	$42.02

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	120	120	$165.00	$101.98
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	62	62	$551.03	$264.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	41	$387.95	$110.48
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$111.00	$70.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$248.00	$150.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$67.00	$42.33
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$508.63	$178.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$162.00	$103.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$371.00	$194.46

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	104	104	$165.00	$100.50
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	48	48	$565.92	$261.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	39	$385.59	$102.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$248.00	$153.98
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$111.00	$68.31
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$414.93	$177.72
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$115.00	$69.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	75	$145.00	$50.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	44	$86.00	$38.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$327.00	$128.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$215.00	$75.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$213.00	$77.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$758.00	$188.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$144.00	$68.71
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	22	22	$11.00	$5.54
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$149.00	$49.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$87.00	$25.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$273.00	$135.36
49505 Repair of groin hernia (5 years or older)	15	15	$1049.00	$606.31
47562 Removal of gallbladder using an endoscope	13	13	$1393.00	$631.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$618.00	$260.32

Medical Specialties & State Licenses

CMS Verified: 2020-06-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ID M-13897

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 VA 0101230423

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1386640076 (ID)

Commercial Insurance / Payer ID Blue Cross Of Id

1386640076 (ID)

Secondary Practice Locations

2006 Health Campus Dr

Harrisonburg, VA 228018679

Phone: 5406895800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Ralph Campanale , MD

Surgery

NPI 1972566727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location June 08, 2020

Registered at 180 1ST ST W, #301, KETCHUM, ID 83340 (Tel: 2087263707)

📍

Updated Business Mailing Address June 08, 2020

Registered at PO BOX 3778, KETCHUM, ID 833403721 (Tel: 2087263707)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2020

Surgery (License #M-13897 in ID)

✅

NPI Profile Active August 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2012

Registered at 2006 HEALTH CAMPUS DR, HARRISONBURG, VA 228018679 (Tel: 5406895800)

📍

Updated Business Mailing Address August 15, 2012

Registered at PO BOX 1430, HARRISONBURG, VA 228031430 (Tel: 5405645791)

👤

Provider Name / Credentials Updated August 15, 2012

Recorded as GENE BRANUM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2012

Surgery (License #0101230423 in VA)

🟢

Initial NPI Registration & Enumeration June 27, 2005

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: 1386640076

Entity Type:

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

Enumeration Date: June 27, 2005

Last Update: June 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3778

Ketchum, ID 833403721

Phone: 2087263707

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.