Active NPI 1609817394 Individual Practitioner Male Practitioner

Dr. John P Eldridge , MD

Surgery • Edgewood, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Eldridge, MD is a certified Surgery practicing in Edgewood, KY. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Eldridge delivers high-quality medical care to the local community at 20 MEDICAL VILLAGE DR.

Dr. Eldridge is affiliated with Summit Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of muscle and/or tissue, 20.0 sq cm or less, 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

20 Medical Village Dr

Edgewood, KY 410175401

Telephone 8593441600

Fax 8593440091

Associated Practice Facility / Clinic

🏢 Remke Medical Llc Facility NPI 1376542019

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Edgewood, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +15.2 yrs vs City Avg

City Avg: 28.8 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Edgewood, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Eldridge (44 Years) 44 Yrs

Edgewood Specialty Average (28.8 Years) 28.8 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	49	30	$213.00	$70.48
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	43	11	$542.00	$138.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	17	$191.00	$75.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	17	$301.00	$96.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$264.00	$101.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$417.00	$165.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	11	11	$120.00	$47.41

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	65	28	$127.00	$76.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	20	$68.00	$46.69
99213 Established patient office or other outpatient visit, typically 15 minutes	43	28	$135.00	$70.42
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	36	15	$471.00	$138.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	18	$180.00	$97.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$180.00	$104.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$353.00	$167.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	39	13	$471.00	$147.90
99213 Established patient office or other outpatient visit, typically 15 minutes	38	25	$130.37	$75.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	18	$176.29	$97.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	20	$127.00	$68.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$353.00	$189.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$176.50	$106.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$68.00	$37.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11044 Removal of bone, 20.0 sq cm or less	54	11	$657.00	$219.63
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	35	16	$471.00	$136.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	21	$68.00	$37.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	18	$173.00	$93.49
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$119.00	$74.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$174.61	$101.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$127.00	$69.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$353.00	$193.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	28	$68.00	$38.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	32	$173.00	$78.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	19	$127.00	$69.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$353.00	$194.60
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$119.00	$67.45
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	26	12	$471.00	$136.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$174.15	$100.87
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	13	12	$707.00	$221.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	50	$115.38	$61.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	34	$169.74	$77.65
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	44	19	$471.00	$150.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$171.17	$100.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	25	$65.38	$38.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	14	$118.04	$70.60
11044 Removal of bone, 20.0 sq cm or less	24	12	$657.00	$224.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$339.61	$196.23
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	22	19	$707.00	$218.90
15273 Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	20	17	$490.00	$193.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$71.17	$25.72
49650 Repair of groin hernia using an endoscope	11	11	$999.48	$437.38

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	102	32	$168.00	$75.40
99213 Established patient office or other outpatient visit, typically 15 minutes	53	38	$114.00	$60.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$168.00	$100.86
11044 Removal of bone, 20.0 sq cm or less	41	13	$657.00	$222.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	21	$116.00	$69.91
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	11	$471.00	$146.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$325.00	$194.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$63.00	$37.71
47562 Removal of gallbladder using an endoscope	11	11	$1533.48	$554.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	61	$114.00	$55.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	32	$168.00	$72.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$168.00	$98.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	25	$116.00	$62.33
11044 Removal of bone, 20.0 sq cm or less	35	11	$657.00	$222.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$325.00	$188.82
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	15	$471.00	$138.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	18	$167.00	$99.76
47562 Removal of gallbladder using an endoscope	13	13	$1482.92	$587.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 23565

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

64235658 (KY)

Medicaid State Provider ID

0707088 (OH)

Commercial Insurance / Payer ID Anthem

000000033738 (KY)

Commercial Insurance / Payer ID United Healthcare

3700184 (KY)

Commercial Insurance / Payer ID Railroad Medicare

020010539 (KY)

Commercial Insurance / Payer ID Aetna

4201976 (KY)

Commercial Insurance / Payer ID Cigna

0789943

Commercial Insurance / Payer ID Anthem

000000747824

Hospital & Practice Group Affiliations

Summit Medical Group Inc

580 S Loop Rd, Edgewood, KY 410173415

Phone: 8593441600

Secondary Practice Locations

1500 James Simpson Jr Way

Covington, KY 410110801

Phone: 8596551100

Practice Associates & Co-Workers

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

21 Associated Practitioners

Casey Doty , PA-C

Physician Assistant

NPI 1053528380

Physician Assistant (Certified)

Dr. Steve Chausse , MD

Surgery - Vascular Surgery

NPI 1083008346

Doctor of Medicine (M.D.)

Dr. Sidney Trogdon , MD

Surgery

NPI 1154326965

Doctor of Medicine (M.D.)

Dr. Edward Caldwell , DO

Surgery - Vascular Surgery

NPI 1164757951

Doctor of Osteopathic Medicine (D.O.)

Austin Stacy

Physician Assistant

NPI 1174238315

Dr. Douglas Rodgers , MD

Surgery - Vascular Surgery

NPI 1184113201

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 March 18, 2019

Registered at 20 MEDICAL VILLAGE DR, EDGEWOOD, KY 410175401 (Tel: 8593441600)

📍

Updated Business Mailing Address September 14, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593441600)

✅

NPI Profile Active September 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2015

Registered at 580 S LOOP RD, SUITE 201, EDGEWOOD, KY 410173415 (Tel: 8593441600)

📍

Updated Business Mailing Address September 22, 2015

Registered at 2300 CHAMBER CENTER DR, SUITE 200, LAKESIDE PARK, KY 410171673 (Tel: 8593445555)

👤

Provider Name / Credentials Updated September 22, 2015

Recorded as JOHN ELDRIDGE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2015

Surgery (License #23565 in KY)

🟢

Initial NPI Registration & Enumeration June 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609817394

Entity Type:

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

Enumeration Date: June 10, 2006

Last Update: March 18, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 635283

Cincinnati, OH 452635283

Phone: 8593441600

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.