Active NPI 1154301380 Individual Practitioner Male Practitioner

Dr. Eric Alfred Oristian , MD

Surgery • Wheaton, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Oristian, MD is a certified Surgery practicing in Wheaton, MD. With approximately 48 years of clinical experience since graduating from Georgetown University School Of Medicine in 1978, Dr. Oristian delivers high-quality medical care to the local community at 2730 UNIVERSITY BLVD W.

Dr. Oristian is affiliated with Maryland Oncology Hematology Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2730 University Blvd W
Suite 216

Wheaton, MD 209021905

Telephone 3019424080

Fax 3019424082

Associated Practice Facility / Clinic

🏢 Montgomery Foot And Ankle Associates Facility NPI 1003812124

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wheaton, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +9.0 yrs vs City Avg

City Avg: 39.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Wheaton, MD (717 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Oristian (48 Years) 48 Yrs

Wheaton Specialty Average (39.0 Years) 39.0 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	255	202	$227.00	$100.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	72	$141.00	$63.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$415.00	$179.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$322.00	$134.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$280.00	$123.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$447.00	$189.41
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	$547.00	$241.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	348	263	$126.86	$92.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$264.55	$184.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$215.51	$137.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$195.85	$122.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	19	$238.17	$182.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$129.31	$62.34
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	$307.91	$245.68
49505 Repair of groin hernia (5 years or older)	14	14	$1005.05	$596.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	384	280	$91.98	$92.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$204.92	$194.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$134.50	$135.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$180.16	$181.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$256.68	$257.25
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	24	17	$1118.63	$835.30
19301 Partial removal of breast	22	17	$832.66	$540.28
49505 Repair of groin hernia (5 years or older)	18	18	$720.54	$646.07
19297 Insertion of catheter into breast for radiation therapy concurrent with partial breast removal using imaging guidance	16	12	$239.95	$110.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$138.37	$131.74
38900 Lymph node imaging during surgery	14	14	$156.15	$151.66
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$561.13	$264.68
76998 Ultrasonic guidance during surgery	11	11	$150.04	$70.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	376	267	$91.76	$91.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$204.91	$193.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	38	$134.54	$134.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	31	$180.16	$180.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$256.68	$255.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$135.75	$130.74
49505 Repair of groin hernia (5 years or older)	26	26	$678.65	$623.38
38900 Lymph node imaging during surgery	16	16	$170.06	$159.99
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$561.13	$277.58
19301 Partial removal of breast	15	13	$832.66	$755.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	273	$91.51	$82.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	85	$204.90	$178.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$134.53	$119.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	34	$180.63	$158.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$256.68	$225.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$55.26	$50.71
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$615.30	$262.67
38900 Lymph node imaging during surgery	23	23	$173.54	$154.35
19366 Plastic surgery to reconstruct breast	21	16	$1829.88	$1562.20
19301 Partial removal of breast	21	16	$864.44	$386.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$135.75	$118.13
49505 Repair of groin hernia (5 years or older)	14	14	$763.30	$629.29
19303 Total removal of breast	11	11	$1640.10	$1157.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	378	264	$91.53	$79.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	93	$55.43	$49.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$205.41	$175.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$134.44	$116.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	27	$180.66	$155.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$135.75	$116.48
49505 Repair of groin hernia (5 years or older)	24	24	$730.39	$550.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$258.49	$219.69
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$561.13	$240.68
19366 Plastic surgery to reconstruct breast	13	11	$1796.50	$1529.18
19301 Partial removal of breast	13	11	$832.66	$357.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	223	$91.53	$76.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	111	$55.26	$46.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$204.96	$170.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	43	$134.18	$112.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	30	$180.16	$150.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$135.75	$112.83
19301 Partial removal of breast	22	20	$832.66	$344.86
19366 Plastic surgery to reconstruct breast	22	20	$1796.50	$1492.58
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$561.13	$232.81
38900 Lymph node imaging during surgery	18	18	$170.06	$144.96
49505 Repair of groin hernia (5 years or older)	14	14	$667.89	$552.99
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	$256.68	$214.09
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$94.17	$78.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	259	195	$91.49	$73.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	153	139	$55.23	$44.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$204.40	$163.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	41	$134.41	$107.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	31	$180.10	$144.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$135.67	$108.78
49505 Repair of groin hernia (5 years or older)	22	22	$674.25	$544.73
19366 Plastic surgery to reconstruct breast	20	16	$1796.50	$1384.52
19301 Partial removal of breast	17	14	$832.66	$348.85
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	$256.55	$205.45
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$561.13	$224.38

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD DOO24564

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

Commercial Insurance / Payer ID Carefirst Bcbs Number

9561 (MD)

Commercial Insurance / Payer ID United/mdipa/opt Choice

25306 (MD)

Commercial Insurance / Payer ID Maryland License

D0024564 (MD)

Hospital & Practice Group Affiliations

Maryland Oncology Hematology Pa

11886 Healing Way, Silver Spring, MD 209047917

Phone: 3019333216

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Regina Hampton , MD

Surgery

NPI 1356338230

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 July 18, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2008

Registered at 2730 UNIVERSITY BLVD W, SUITE 216, WHEATON, MD 209021905 (Tel: 3019424080)

📍

Updated Business Mailing Address July 18, 2008

Registered at 2730 UNIVERSITY BLVD W, SUITE 216, WHEATON, MD 209021905 (Tel: 3019424080)

👤

Provider Name / Credentials Updated July 18, 2008

Recorded as ERIC ORISTIAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2008

Surgery (License #DOO24564 in MD)

🟢

Initial NPI Registration & Enumeration January 23, 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: 1154301380

Entity Type:

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

Enumeration Date: January 23, 2006

Last Update: July 18, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2730 University Blvd W, Suite 216

Wheaton, MD 209021905

Phone: 3019424080

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.