Active NPI 1285922724 Individual Practitioner Male Practitioner

Dr. Jonathan Ethan Tannebaum , MD

Surgery • Oakland, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Tannebaum, MD is a certified Surgery practicing in Oakland, MD. With approximately 17 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2009, Dr. Tannebaum delivers high-quality medical care to the local community at 251 N 4TH ST.

Dr. Tannebaum is affiliated with Specialty Physicians Of Garrett County, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, biopsy of large bowel using an endoscope, 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

251 N 4th St

Oakland, MD 215501375

Telephone 3015334000

Fax 3018958751

Associated Practice Facility / Clinic

🏢 Anesthesia Associates Of Garrett County Llc Facility NPI 1336482447

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oakland, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -7.7 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Oakland, MD (717 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tannebaum (17 Years) 17 Yrs

Oakland Specialty Average (24.7 Years) 24.7 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$244.00	$110.59
45380 Biopsy of large bowel using an endoscope	68	68	$746.00	$147.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	39	$202.00	$76.28
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$192.00	$90.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$310.00	$128.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$492.00	$106.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$373.00	$179.10
45381 Injection beneath lining of large bowel using a flexible endoscope	23	23	$805.00	$15.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1007.00	$247.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$468.00	$219.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$372.00	$166.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$269.00	$121.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	70	$173.97	$90.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$216.80	$112.09
45380 Biopsy of large bowel using an endoscope	38	38	$737.05	$185.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	21	$554.65	$89.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$310.00	$130.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$249.56	$128.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$346.38	$168.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	87	$142.88	$93.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$175.23	$115.04
45380 Biopsy of large bowel using an endoscope	43	42	$710.91	$153.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$620.94	$99.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$109.19	$71.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$260.67	$171.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$59.39	$39.09

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	87	87	$162.11	$115.36
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$134.00	$93.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$246.00	$174.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$587.00	$102.38
45380 Biopsy of large bowel using an endoscope	22	22	$672.00	$191.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$190.00	$134.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$56.00	$39.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$103.00	$73.39
99219 Hospital observation care, typically 50 minutes	16	16	$192.00	$137.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$287.00	$204.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$195.00	$138.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	49	$100.00	$48.90
97597 Removal of tissue from wound, 20.0 sq cm or less	26	15	$105.00	$35.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$164.17	$106.18
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$116.00	$70.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$163.58	$108.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	22	$100.00	$47.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$193.04	$132.02
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$115.00	$49.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$100.00	$73.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$282.00	$195.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$150.00	$124.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	11	$131.00	$50.71

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	39	23	$162.00	$70.75
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$131.00	$49.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$106.00	$24.96

Medical Specialties & State Licenses

CMS Verified: 2021-08-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 275818

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

996022880 (MD)

Commercial Insurance / Payer ID Medicar Ptan

1H0698 (MD)

Hospital & Practice Group Affiliations

Specialty Physicians Of Garrett County, Llc

32 Corporate Dr, Grantsville, MD 215361259

Phone: 3018958750

Practice Associates & Co-Workers

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

24 Associated Practitioners

Ann Dumonchelle , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023344645

Certified Registered Nurse Anesthetist

Brenda Moreland , CRNP

Nurse Practitioner - Family

NPI 1023521804

Certified Registered Nurse Practitioner

Luther Neubert , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043398555

Certified Registered Nurse Anesthetist

Kambrie Bosley , PA-C

Physician Assistant

NPI 1083385512

Physician Assistant (Certified)

Dr. Joanne Hodges , MD

Emergency Medicine

NPI 1083647267

Doctor of Medicine (M.D.)

Karen Hershfeld , PA-C

Physician Assistant

NPI 1104837269

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location August 16, 2021

Registered at 251 N 4TH ST, OAKLAND, MD 215501375 (Tel: 3015334000)

📍

Updated Practice Location September 06, 2018

Registered at 2666 W STATE ST, OLEAN, NY 14760 (Tel: 7167161711)

📍

Updated Business Mailing Address September 06, 2018

Registered at 908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 141202019 (Tel: 7166923302)

👤

Provider Name / Credentials Updated September 06, 2018

Recorded as JONATHAN TANNEBAUM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2018

Surgery (License #275818 in NY)

✅

NPI Profile Active July 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2011

Registered at 3400 BAINBRIDGE AVE, DEPT OF SURGERY MAP4, BRONX, NY 10467 (Tel: 7189205411)

📍

Updated Business Mailing Address July 19, 2011

Registered at 3450 WAYNE AVE, 19G, BRONX, NY 104672510 (Tel: 2152005555)

👤

Provider Name / Credentials Updated July 19, 2011

Recorded as JONATHAN TANNEBAUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1285922724

Entity Type:

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

Enumeration Date: July 19, 2011

Last Update: August 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

908 Niagara Falls Blvd Ste 208

North Tonawanda, NY 141202019

Phone: 7166923302

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.