Active NPI 1285635698 Individual Practitioner Male Practitioner

Dr. Cesar Ocampo Agtarap , MD

Internal Medicine • Jackson, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cesar Agtarap, MD is a certified Internal Medicine practicing in Jackson, KY. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Agtarap delivers high-quality medical care to the local community at 1550 HIGHWAY 15 S.

Dr. Agtarap accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit, injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1550 Highway 15 S
Suite 80

Jackson, KY 413397247

Telephone 6066930343

Fax 6066930322

Associated Practice Facility / Clinic

🏢 Mercy Clinic Of Jackson, Pllc Facility NPI 1306047105

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +15.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Jackson, KY (1608 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agtarap (42 Years) 42 Yrs

Jackson Specialty Average (27.0 Years) 27.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	735	146	$175.00	$88.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	340	132	$50.00	$21.90
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	219	99	$892.00	$232.16
80305 Testing for presence of drug, read by direct observation	37	26	$30.00	$10.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,025	187	$175.00	$83.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	367	164	$50.00	$20.82
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	307	131	$892.00	$221.39
80305 Testing for presence of drug, read by direct observation	39	16	$28.59	$9.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,292	242	$175.00	$84.48
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	484	166	$892.00	$224.17
99441 Telephone medical discussion with physician, 5-10 minutes	188	156	$35.00	$35.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	92	$70.00	$52.97
80305 Testing for presence of drug, read by direct observation	25	15	$25.00	$8.92

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	1,683	324	$69.96	$52.39
99441 Telephone medical discussion with physician, 5-10 minutes	769	270	$34.99	$34.99
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	485	214	$892.00	$229.24
99213 Established patient office or other outpatient visit, typically 15 minutes	227	174	$175.00	$85.51
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	204	135	$350.00	$246.44

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	2,180	372	$70.00	$42.25
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	598	264	$892.00	$225.35
99213 Established patient office or other outpatient visit, typically 15 minutes	565	365	$174.91	$70.30
99441 Telephone medical discussion with physician, 5-10 minutes	52	26	$33.56	$33.58
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	29	25	$350.00	$242.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,582	496	$160.99	$67.29
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	926	368	$891.12	$214.45
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	188	126	$350.00	$232.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	73	$250.00	$99.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$340.91	$149.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$60.00	$20.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,779	531	$150.00	$66.79
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	876	396	$892.00	$213.41
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	410	234	$350.00	$232.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	384	326	$60.00	$19.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$250.00	$98.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$350.00	$152.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,581	549	$150.00	$65.51
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	902	421	$892.00	$208.45
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	552	304	$350.00	$226.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	387	321	$60.00	$17.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$350.00	$146.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$275.00	$188.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$250.00	$97.38

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 31497

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6431-4974 (KY)

Commercial Insurance / Payer ID Npi

1306047105 (KY)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 22, 2017

Registered at 1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 413397247 (Tel: 6066930343)

📍

Updated Business Mailing Address September 22, 2017

Registered at 1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 413397247 (Tel: 6066930343)

👤

Provider Name / Credentials Updated September 22, 2017

Recorded as CESAR AGTARAP, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Internal Medicine (License #31497 in KY)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 413397247 (Tel: 6066930343)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1550 HIGHWAY 15 S, SUITE 80, JACKSON, KY 413397247 (Tel: 6066930343)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as CESAR AGTARAP, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #31497 in KY)

🟢

Initial NPI Registration & Enumeration August 09, 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: 1285635698

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: September 22, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1550 Highway 15 S, Suite 80

Jackson, KY 413397247

Phone: 6066930343

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.