Active NPI 1316948664 Individual Practitioner Male Practitioner

Dr. Charles L Papp , MD

Colon & Rectal Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Papp, MD is a certified Colon & Rectal Surgery practicing in Lexington, KY. With approximately 42 years of clinical experience since graduating from University Of California, Geffen School Of Medicine in 1984, Dr. Papp delivers high-quality medical care to the local community at 2620 WILHITE DR.

Dr. Papp is affiliated with Colorectal Surgical And Gastroenterology Associates Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include pathology examination of tissue using a microscope, intermediate complexity, removal of polyps or growths of large bowel using an endoscope with mechanical snare, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2620 Wilhite Dr

Lexington, KY 405033385

Telephone 8592786031

Fax 8592777015

Associated Practice Facility / Clinic

🏢 Swigert And Associates, Inc. Facility NPI 1881692119

Medicare Profile & Education

Medical School

University Of California, Geffen School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Lexington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +20.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

15 Specialists

Practicing in Lexington, KY (31 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Papp (42 Years) 42 Yrs

Lexington Specialty Average (21.3 Years) 21.3 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
88305 Pathology examination of tissue using a microscope, intermediate complexity	250	126	$50.54	$31.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	98	98	$522.81	$235.34
99213 Established patient office or other outpatient visit, typically 15 minutes	60	49	$104.00	$85.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	57	57	$392.00	$171.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	36	$141.27	$117.08
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$392.00	$173.43
45380 Biopsy of large bowel using an endoscope	25	25	$461.00	$132.32
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$385.00	$172.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$115.00	$104.46
45300 Diagnostic examination of rectum and large bowel using an endoscope	19	18	$133.00	$112.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$173.00	$157.17
46600 Diagnostic examination of the anus using an endoscope	16	16	$120.00	$105.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	311	158	$44.60	$30.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	135	133	$528.90	$234.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	51	$135.86	$118.39
99213 Established patient office or other outpatient visit, typically 15 minutes	62	48	$99.97	$85.05
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	54	54	$392.00	$174.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$173.00	$157.64
45300 Diagnostic examination of rectum and large bowel using an endoscope	27	24	$133.00	$118.17
45380 Biopsy of large bowel using an endoscope	24	23	$461.00	$116.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$392.00	$175.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$115.00	$105.58
46600 Diagnostic examination of the anus using an endoscope	19	19	$122.84	$105.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$58.41	$52.82
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$387.67	$174.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	308	163	$40.78	$29.77
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	129	128	$533.30	$242.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	65	$135.33	$119.87
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	53	53	$392.00	$177.34
45380 Biopsy of large bowel using an endoscope	48	48	$470.48	$131.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$179.45	$156.34
45300 Diagnostic examination of rectum and large bowel using an endoscope	35	28	$133.00	$120.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$57.60	$53.20
46600 Diagnostic examination of the anus using an endoscope	25	24	$125.36	$104.42
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$392.00	$177.76
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$94.00	$86.13
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$402.50	$177.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	311	173	$40.00	$29.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	136	136	$521.18	$244.84
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	131	129	$54.00	$5.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	52	$127.18	$120.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$178.38	$157.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	59	58	$392.00	$176.41
45380 Biopsy of large bowel using an endoscope	42	42	$462.05	$126.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$55.08	$51.52
45300 Diagnostic examination of rectum and large bowel using an endoscope	31	28	$134.45	$120.43
46600 Diagnostic examination of the anus using an endoscope	27	25	$122.15	$106.11
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$90.91	$82.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$392.00	$176.56
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$385.00	$180.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	248	138	$40.00	$28.29
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	166	166	$54.00	$5.50
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	103	103	$521.70	$254.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	55	$108.00	$103.85
45380 Biopsy of large bowel using an endoscope	50	50	$462.32	$142.54
99213 Established patient office or other outpatient visit, typically 15 minutes	50	41	$75.32	$70.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	45	45	$392.00	$184.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$167.00	$158.05
45300 Diagnostic examination of rectum and large bowel using an endoscope	39	32	$126.00	$115.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$45.26	$42.69
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$410.00	$172.15
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$392.00	$184.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	11	$72.00	$71.26
46600 Diagnostic examination of the anus using an endoscope	17	16	$100.12	$95.60
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$75.00	$72.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	288	164	$31.22	$26.84
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	253	248	$54.00	$5.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	84	$108.80	$102.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	108	108	$521.67	$251.38
45380 Biopsy of large bowel using an endoscope	71	70	$463.17	$137.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$169.01	$154.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	64	64	$392.00	$182.05
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$74.81	$69.37
45300 Diagnostic examination of rectum and large bowel using an endoscope	44	38	$126.00	$112.81
46600 Diagnostic examination of the anus using an endoscope	43	42	$95.37	$88.01
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$392.00	$180.60
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$411.79	$176.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$44.30	$42.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$109.00	$102.17

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	159	159	$54.00	$5.37
88305 Pathology examination of tissue using a microscope, intermediate complexity	126	78	$31.39	$26.22
88305 Pathology examination of tissue using a microscope, intermediate complexity	102	62	$31.00	$26.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	85	$108.89	$100.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	80	80	$521.60	$251.28
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	71	71	$54.00	$52.26
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	67	58	$10.00	$9.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$175.10	$149.92
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$74.29	$68.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	45	45	$392.00	$181.39
45300 Diagnostic examination of rectum and large bowel using an endoscope	43	39	$130.05	$107.27
45380 Biopsy of large bowel using an endoscope	37	37	$462.19	$119.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$581.09	$387.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$43.00	$40.71
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$392.00	$292.54
46600 Diagnostic examination of the anus using an endoscope	18	18	$91.83	$77.86
45380 Biopsy of large bowel using an endoscope	14	14	$483.00	$248.13
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$481.79	$164.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$109.00	$101.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	274	230	$10.55	$9.47
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	271	265	$54.00	$51.52
88305 Pathology examination of tissue using a microscope, intermediate complexity	237	139	$32.45	$25.23
99213 Established patient office or other outpatient visit, typically 15 minutes	126	80	$74.84	$66.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	90	90	$562.61	$384.22
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	71	71	$392.00	$283.37
45380 Biopsy of large bowel using an endoscope	62	62	$501.02	$268.03
45300 Diagnostic examination of rectum and large bowel using an endoscope	59	53	$128.95	$109.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	13	$40.00	$37.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$392.00	$285.66
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$405.00	$291.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	29	$43.00	$40.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$109.00	$100.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$172.00	$152.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$108.00	$100.23
46600 Diagnostic examination of the anus using an endoscope	22	20	$90.95	$80.27
99221 Initial hospital inpatient care per day, typically 30 minutes	17	15	$100.00	$96.73
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	12	11	$165.00	$143.99

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License KY 27143

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64271430 (KY)

Hospital & Practice Group Affiliations

Colorectal Surgical And Gastroenterology Associates Psc

2620 Wilhite Dr, Lexington, KY 405033385

Phone: 8592786031

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. John Fox , MD

Colon & Rectal Surgery

NPI 1053312041

Doctor of Medicine (M.D.)

Dr. Thomas Knopp , DO

Internal Medicine

NPI 1093998239

Doctor of Osteopathic Medicine (D.O.)

Ross Hempel

Colon & Rectal Surgery

NPI 1235660523

Dr. Jennifer Rea , MD

Colon & Rectal Surgery

NPI 1386853190

Doctor of Medicine (M.D.)

Frank Rutigliano

Colon & Rectal Surgery

NPI 1477916484

Bailey Coleman

Nurse Anesthetist, Certified Registered

NPI 1619603560

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 23, 2010

Registered at 2620 WILHITE DR, LEXINGTON, KY 405033385 (Tel: 8592786031)

📍

Updated Business Mailing Address September 23, 2010

Registered at 2620 WILHITE DR, LEXINGTON, KY 405033385 (Tel: 8592786031)

👤

Provider Name / Credentials Updated September 23, 2010

Recorded as CHARLES PAPP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2010

Colon & Rectal Surgery (License #27143 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: 1316948664

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: September 23, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2620 Wilhite Dr

Lexington, KY 405033385

Phone: 8592786031

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.