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Deactivated NPI 1205806361 Deactivated / Inactive NPI Male Practitioner

Dr. Richard B Hostetter , MD

Surgery • Lagrange, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Hostetter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 23, 2006
NPI Deactivation Date January 18, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Hostetter, MD was a registered Surgery practicing in Lagrange, IN. Throughout an active medical career spanning 17 years, Dr. Hostetter provided care at the practice location at 207 N TOWNLINE RD STE 101 until profile deactivation on 2023-01-18.

Historical Medicare Part B clinical services included 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, biopsy of large bowel using an endoscope, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

207 N Townline Rd Ste 101

Lagrange, IN 467611325

Telephone 2604639316
Fax 2604639334
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lagrange, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.8 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Lagrange, IN (657 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.9% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
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
97 95 $107.00 $5.12
45380 Biopsy of large bowel using an endoscope
38 38 $1165.00 $193.46
99213 Established patient office or other outpatient visit, typically 15 minutes
30 28 $128.00 $68.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 25 $188.00 $101.44
45378 Diagnostic exam of large bowel using a flexible endoscope
26 26 $935.00 $174.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
24 21 $76.50 $41.05
17000 Destruction of skin growth
19 17 $130.00 $53.52
99201 New patient office or other outpatient visit, typically 10 minutes
16 16 $80.00 $41.54
99202 New patient office or other outpatient visit, typically 20 minutes
16 16 $131.00 $70.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
14 14 $1008.00 $105.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
12 12 $1535.00 $244.53

Medical Specialties & State Licenses

CMS Verified: 2023-03-15
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01050312A

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License IN 01050312

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License IN 01050312A

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200218420 (IN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023070281

Doctor of Medicine (M.D.)

NPI 1083683783

Doctor of Medicine (M.D.)

NPI 1144437518

Doctor of Medicine (M.D.)

NPI 1679573034

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
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Updated Practice Location March 15, 2023

Registered at 207 N TOWNLINE RD STE 101, LAGRANGE, IN 467611325 (Tel: 2604639316)

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Updated Business Mailing Address March 15, 2023

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

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Provider Name / Credentials Updated March 15, 2023

Recorded as RICHARD HOSTETTER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Specialist (License #01050312 in IN)

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NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

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Updated Practice Location January 31, 2020

Registered at 207 N TOWNLINE RD STE 101, LAGRANGE, IN 467611325 (Tel: 2604639316)

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Updated Business Mailing Address January 31, 2020

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2016

Registered at 2016 S MAIN ST, GOSHEN, IN 465265236 (Tel: 5745331120)

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Updated Business Mailing Address December 13, 2016

Registered at 2016 S MAIN ST, GOSHEN, IN 465265236

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Provider Name / Credentials Updated December 13, 2016

Recorded as RICHARD HOSTETTER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Specialist (License #01050312 in IN)

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Initial NPI Registration & Enumeration January 23, 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: 1205806361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: March 15, 2023
Deactivation Date: January 18, 2023
Sole Proprietor: No

Mailing Address

3702 New Vision Dr Bldg B

Fort Wayne, IN 468451703

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.