Active NPI 1487607610 Individual Practitioner Male Practitioner

Dr. Darren Craig Chapman , MD

Surgery • Madisonville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Darren Chapman, MD is a certified Surgery practicing in Madisonville, KY. With approximately 38 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1988, Dr. Chapman delivers high-quality medical care to the local community at 800 HOSPITAL DR.

Dr. Chapman is affiliated with Baptist Health Deaconess Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Hospital Dr

Madisonville, KY 424311658

Telephone 2703264800

Fax 2703264820

Associated Practice Facility / Clinic

🏢 Regional Health Care Affiliates Inc Facility NPI 1104344837

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Madisonville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +7.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Madisonville, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chapman (38 Years) 38 Yrs

Madisonville Specialty Average (31.0 Years) 31.0 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	64	44	$172.63	$83.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$106.00	$51.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$243.00	$120.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$212.00	$107.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$318.00	$156.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$650.00	$179.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$172.00	$80.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$106.00	$51.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$212.00	$102.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$318.00	$154.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$243.00	$114.00
77067 Screening mammography	19	19	$166.00	$76.08
77063 Screening digital tomography of both breasts	17	17	$43.00	$19.64
45380 Biopsy of large bowel using an endoscope	13	13	$432.00	$120.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$544.50	$227.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	77	$150.00	$86.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	58	$89.20	$52.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$205.78	$104.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$311.85	$159.52
77067 Screening mammography	23	23	$176.17	$72.65
77063 Screening digital tomography of both breasts	23	23	$44.57	$18.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$211.65	$121.73
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	17	16	$44.18	$13.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$330.12	$162.30
45380 Biopsy of large bowel using an endoscope	17	17	$637.71	$98.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$791.25	$244.61
77065 Diagnostic mammography of 1 breast	13	13	$163.92	$78.89
19081 Biopsy of breast accessed through the skin with stereotactic guidance	12	11	$363.50	$151.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	101	$137.00	$87.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$202.00	$107.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	46	$82.00	$53.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$310.00	$152.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$202.00	$119.94
77063 Screening digital tomography of both breasts	22	22	$45.00	$18.92
77067 Screening mammography	22	22	$179.00	$71.76
45380 Biopsy of large bowel using an endoscope	17	15	$701.00	$88.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$872.00	$235.68
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	14	12	$45.00	$12.80
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$350.00	$166.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	90	$137.00	$70.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	54	$82.00	$42.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$310.00	$155.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	38	$202.00	$104.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$202.00	$102.55
77063 Screening digital tomography of both breasts	18	18	$45.00	$19.28
77067 Screening mammography	18	18	$179.00	$76.29
45380 Biopsy of large bowel using an endoscope	14	14	$701.00	$147.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$872.00	$253.87
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$347.00	$158.40
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1547.00	$713.47

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	136	111	$82.00	$42.10
99213 Established patient office or other outpatient visit, typically 15 minutes	110	85	$137.00	$69.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$202.00	$102.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$310.00	$156.29
45380 Biopsy of large bowel using an endoscope	30	29	$701.00	$125.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$202.00	$102.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$872.00	$236.72
77067 Screening mammography	25	25	$179.00	$78.36
77063 Screening digital tomography of both breasts	25	25	$45.00	$19.88
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	22	18	$45.00	$14.58
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$365.00	$183.72
77065 Diagnostic mammography of 1 breast	15	14	$169.00	$82.49
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.00	$71.78
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	13	13	$35.00	$17.91
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1547.00	$698.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$572.00	$106.27
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$675.00	$175.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	97	$136.36	$66.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	96	$81.32	$40.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$202.71	$101.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$310.70	$154.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$202.58	$100.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	34	$799.63	$238.68
45380 Biopsy of large bowel using an endoscope	38	35	$682.53	$116.79
77067 Screening mammography	29	29	$177.14	$76.96
77063 Screening digital tomography of both breasts	29	29	$44.38	$19.38
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	24	21	$45.00	$12.46
77065 Diagnostic mammography of 1 breast	23	21	$167.61	$83.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$384.33	$177.07
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$585.40	$173.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$265.00	$131.82
74300 Review by radiologist of bile and/or pancreatic duct image during surgery	12	12	$35.58	$17.67
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1548.09	$687.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	90	$136.00	$66.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	82	$81.00	$39.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$311.00	$153.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$203.00	$100.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$203.00	$97.79
77063 Screening digital tomography of both breasts	28	28	$43.64	$19.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$762.00	$234.19
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	28	28	$172.43	$77.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$140.00	$69.04
45380 Biopsy of large bowel using an endoscope	21	21	$674.00	$118.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$433.71	$176.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$489.00	$72.30
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	14	13	$44.14	$13.36
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	12	12	$163.33	$82.07
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$357.75	$155.05

Medical Specialties & State Licenses

CMS Verified: 2020-12-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 26871

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 SC 22311

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100063640 (KY)

Medicaid State Provider ID

223116 (SC)

Commercial Insurance / Payer ID Medicare Railroad

P00387007 (GA)

Commercial Insurance / Payer ID Anthem Bcbs

000000593670 (KY)

Hospital & Practice Group Affiliations

Baptist Health Deaconess Medical Group Inc

800 Hospital Dr, Madisonville, KY 424311658

Phone: 2703264710

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Mohan Rao , MD

Surgery

NPI 1063519718

Doctor of Medicine (M.D.)

Dr. Robert Willis , MD

Otolaryngology

NPI 1225033434

Doctor of Medicine (M.D.)

Susan Driskill

Audiologist

NPI 1245404425

Lindsey Crook

Nurse Practitioner - Family

NPI 1326696212

Dr. Francinia Mccartney , MD

Ophthalmology

NPI 1467778449

Doctor of Medicine (M.D.)

Dr. Allen Elliott , MD

Ophthalmology

NPI 1528164662

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 07, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2015

Registered at 800 HOSPITAL DR, MADISONVILLE, KY 424311658 (Tel: 2703264800)

📍

Updated Business Mailing Address January 07, 2015

Registered at 200 CLINIC DR, MADISONVILLE, KY 424311661

👤

Provider Name / Credentials Updated January 07, 2015

Recorded as DARREN CHAPMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2015

Surgery (License #26871 in KY)

🟢

Initial NPI Registration & Enumeration May 18, 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: 1487607610

Entity Type:

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

Enumeration Date: May 18, 2006

Last Update: December 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Clinic Dr

Madisonville, KY 424311661

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.