Active NPI 1497818868 Individual Practitioner Male Practitioner

Dr. John F Vanadia , DO

Surgery • Bangor, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Vanadia, DO is a certified Surgery practicing in Bangor, ME. With approximately 39 years of clinical experience since graduating from University Of New England, College Of Osteo Medicine in 1987, Dr. Vanadia delivers high-quality medical care to the local community at 360 BROADWAY.

Dr. Vanadia is affiliated with St Joseph Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

360 Broadway

Bangor, ME 044013979

Telephone 2079073650

Fax 2079073660

Associated Practice Facility / Clinic

🏢 St. Joseph Hospital Facility NPI 1154321545

Medicare Profile & Education

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bangor, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

20 Specialists

Practicing in Bangor, ME (246 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanadia (39 Years) 39 Yrs

Bangor Specialty Average (22.0 Years) 22.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$213.83	$129.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	21	$148.56	$76.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	26	$56.33	$34.34
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$140.50	$63.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$782.59	$243.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$227.38	$94.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$783.67	$173.81
49650 Repair of groin hernia using an endoscope	12	12	$1783.92	$400.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$256.64	$126.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$194.92	$124.19
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$65.00	$63.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$107.09	$93.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	11	$89.00	$47.54
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$257.32	$172.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	15	$157.00	$76.03
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$623.00	$239.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$49.29	$32.87
45380 Biopsy of large bowel using an endoscope	15	15	$593.00	$96.22
15860 Injection of agent into vein to assess blood flow of skin graft or flap	12	12	$258.00	$50.17
49324 Insertion of abdominal cavity catheter using an endoscope	12	12	$954.00	$347.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$200.06	$130.29
99213 Established patient office or other outpatient visit, typically 15 minutes	47	33	$81.09	$64.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	37	$123.00	$93.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	18	$157.00	$68.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$623.00	$243.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$269.40	$176.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$89.00	$37.03
49650 Repair of groin hernia using an endoscope	15	15	$1453.47	$454.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$2682.00	$176.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$293.00	$129.35
49422 Removal of abdominal cavity catheter	13	13	$832.00	$195.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$189.84	$130.74
99213 Established patient office or other outpatient visit, typically 15 minutes	55	45	$65.00	$64.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	17	$157.00	$68.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$94.54	$94.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$623.00	$243.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	14	$224.00	$98.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$249.00	$177.43
45380 Biopsy of large bowel using an endoscope	18	17	$593.00	$123.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$157.20	$141.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$85.00	$80.24
49650 Repair of groin hernia using an endoscope	14	14	$1167.96	$329.75
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$630.00	$170.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$293.00	$129.69

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	81	63	$155.00	$104.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	26	$100.00	$70.22
99213 Established patient office or other outpatient visit, typically 15 minutes	61	42	$100.00	$71.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$213.00	$154.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$190.00	$102.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1310.00	$251.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$1053.00	$181.54
45380 Biopsy of large bowel using an endoscope	20	20	$1156.00	$105.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$264.00	$199.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$250.00	$195.65
49324 Insertion of abdominal cavity catheter using an endoscope	15	15	$1060.00	$322.56
99239 Hospital discharge day management, more than 30 minutes	14	12	$143.00	$103.42
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1843.00	$695.42

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	85	21	$100.00	$69.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$190.00	$102.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	53	$155.00	$102.83
99213 Established patient office or other outpatient visit, typically 15 minutes	65	53	$100.00	$70.56
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	62	62	$24.00	$5.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$213.83	$156.45
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1310.00	$246.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	21	$250.00	$194.55
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$1283.00	$143.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$1053.00	$180.82
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1843.00	$662.92
45380 Biopsy of large bowel using an endoscope	15	15	$1156.00	$137.23
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$107.00	$72.33
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$1060.00	$320.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$190.00	$102.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	31	$100.00	$70.24
99213 Established patient office or other outpatient visit, typically 15 minutes	89	68	$100.00	$69.53
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	72	71	$24.00	$5.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	48	$155.00	$102.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$213.00	$156.75
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$1283.00	$147.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$250.00	$195.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	21	$1310.00	$251.82
49650 Repair of groin hernia using an endoscope	17	17	$1199.47	$385.00
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1843.00	$649.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$264.00	$197.60
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$1053.00	$181.51
99239 Hospital discharge day management, more than 30 minutes	13	12	$143.00	$103.90
82272 Stool analysis for blood	12	12	$10.00	$4.15

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	103	40	$100.00	$67.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	76	$155.59	$100.95
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	74	74	$23.10	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	70	46	$100.00	$69.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$190.00	$102.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$213.00	$155.70
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	37	37	$1283.00	$145.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	34	$250.00	$194.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$1310.00	$250.42
82272 Stool analysis for blood	21	20	$10.00	$4.37
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	21	21	$1843.00	$678.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$264.00	$195.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$1053.00	$180.37
99239 Hospital discharge day management, more than 30 minutes	14	12	$143.00	$103.05
49585 Repair of hernia at navel (5 years or older)	12	12	$906.00	$263.60

Medical Specialties & State Licenses

CMS Verified: 2022-02-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME 1149

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

234340099 (ME)

Commercial Insurance / Payer ID Anthem Bs Id

040754 (ME)

Commercial Insurance / Payer ID Cigna Id

2677016 (ME)

Hospital & Practice Group Affiliations

St Joseph Hospital

360 Broadway, Bangor, ME 044013979

Phone: 2079071617

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Pedro Gomez Valencia , MD

Surgery

NPI 1033436233

Doctor of Medicine (M.D.)

Dr. Joanmarie Pellegrini , MD

Surgery - Trauma Surgery

NPI 1265402242

Doctor of Medicine (M.D.)

Tracy Bennett , PA-C

Physician Assistant

NPI 1457560419

Physician Assistant (Certified)

Dr. David Rydell , DO

Surgery

NPI 1578509535

Doctor of Osteopathic Medicine (D.O.)

Amanda Young , PA-C

Physician Assistant

NPI 1609500016

Physician Assistant (Certified)

Dr. Michael Starks , MD

Surgery

NPI 1801859913

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 January 04, 2021

Registered at 360 BROADWAY, BANGOR, ME 044013979 (Tel: 2079073650)

📍

Updated Business Mailing Address January 04, 2021

Registered at C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 042437291 (Tel: 2077778560)

✅

NPI Profile Active November 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2011

Registered at 358 BROADWAY STE 306, BANGOR, ME 044013929 (Tel: 2079475503)

📍

Updated Business Mailing Address November 10, 2011

Registered at 358 BROADWAY STE 306, BANGOR, ME 044013929 (Tel: 2079475503)

👤

Provider Name / Credentials Updated November 10, 2011

Recorded as JOHN VANADIA, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Surgery (License #1149 in ME)

🟢

Initial NPI Registration & Enumeration December 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: 1497818868

Entity Type:

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

Enumeration Date: December 18, 2006

Last Update: February 03, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

C/o St Marys Health System - Provider Enrollment, Po Box 7291

Lewiston, ME 042437291

Phone: 2077778560

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.