Active NPI 1962822692 Individual Practitioner Female Practitioner

Dr. Catherine Petzinger Deshazo , DO

Surgery • Olive Branch, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Catherine Deshazo, DO is a certified Surgery practicing in Olive Branch, MS. With approximately 12 years of clinical experience since graduating from Midwestern University, Chicago College Of Osteopathic Med in 2014, Dr. Deshazo delivers high-quality medical care to the local community at 5480 GOODMAN RD.

Dr. Deshazo is affiliated with Spg Ii Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, follow-up hospital inpatient care per day, 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

5480 Goodman Rd

Olive Branch, MS 386547902

Telephone 6628939815

Fax 6628939888

Associated Practice Facility / Clinic

🏢 Lebonheur Urgent Care, Llc Facility NPI 1932372307

Medicare Profile & Education

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Olive Branch, MS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -12.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Olive Branch, MS (284 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Deshazo (12 Years) 12 Yrs

Olive Branch Specialty Average (24.0 Years) 24.0 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
99221 Initial hospital inpatient care per day, typically 30 minutes	51	48	$268.94	$76.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	22	$115.13	$45.65
99213 Established patient office or other outpatient visit, typically 15 minutes	24	15	$181.67	$81.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$292.45	$101.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$655.36	$84.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$373.94	$120.49
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$699.79	$149.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$125.43	$50.81
47562 Removal of gallbladder using an endoscope	11	11	$1930.55	$602.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	39	$154.00	$81.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	27	$92.81	$49.77
99221 Initial hospital inpatient care per day, typically 30 minutes	30	28	$207.85	$77.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$230.00	$101.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$224.64	$116.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$765.19	$101.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	477	77	$154.00	$83.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	261	83	$92.81	$51.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	25	$224.64	$119.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$230.00	$100.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$413.30	$181.57
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$159.00	$67.22
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$207.85	$94.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	16	$765.19	$87.78
87070 Bacterial culture	12	12	$25.00	$8.62
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$1748.85	$235.51
45380 Biopsy of large bowel using an endoscope	11	11	$1041.09	$156.56

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	488	99	$92.81	$51.49
99213 Established patient office or other outpatient visit, typically 15 minutes	115	57	$154.00	$84.49
99221 Initial hospital inpatient care per day, typically 30 minutes	50	45	$207.85	$94.66
87070 Bacterial culture	40	23	$25.00	$8.62
11042 Removal of skin and tissue, 20.0 sq cm or less	38	17	$145.53	$115.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$230.00	$103.76
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$159.00	$63.21
76937 Ultrasonic guidance for blood vessel access	23	23	$30.57	$13.30
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	22	19	$1748.85	$238.33
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$154.00	$63.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$765.19	$103.86
97597 Removal of tissue from wound, 20.0 sq cm or less	17	12	$144.00	$90.39
45380 Biopsy of large bowel using an endoscope	13	13	$1041.09	$175.72
36590 Removal of peripheral venous catheter for infusion	13	13	$645.97	$194.16
11042 Removal of skin and tissue, 20.0 sq cm or less	12	12	$145.53	$51.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	26	22	$30.57	$13.86
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$207.85	$96.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$92.81	$41.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$765.19	$93.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$230.00	$99.22
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	15	$511.07	$81.81
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$154.00	$69.06
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$159.00	$69.86
45380 Biopsy of large bowel using an endoscope	14	14	$1041.09	$134.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$281.56	$130.19
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$38.31	$17.88
47562 Removal of gallbladder using an endoscope	11	11	$1408.80	$239.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$207.85	$93.78
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$92.81	$41.20

Medical Specialties & State Licenses

CMS Verified: 2023-11-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MS 26737

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 MI 5101020893

Hospital & Practice Group Affiliations

Spg Ii Llc

5480 Goodman Rd, Olive Branch, MS 386547902

Phone: 6628939815

Secondary Practice Locations

901 E Sunflower Rd

Cleveland, MS 387322833

Phone: 3122139732

28050 Grand River Ave

Farmington Hills, MI 483365919

Phone: 9475218000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Laxmisilpa Hansen , MD

Obstetrics & Gynecology

NPI 1366762155

Doctor of Medicine (M.D.)

Dr. Thomas Beasley , MD

Surgery

NPI 1538393905

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location November 30, 2023

Registered at 5480 GOODMAN RD, OLIVE BRANCH, MS 386547902 (Tel: 6628939815)

📍

Updated Business Mailing Address November 30, 2023

Registered at 1211 UNION AVE STE 330, MEMPHIS, TN 381046655 (Tel: 9014780966)

👤

Provider Name / Credentials Updated November 30, 2023

Recorded as CATHERINE DESHAZO, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2023

Surgery (License #26737 in MS)

📍

Updated Practice Location June 07, 2019

Registered at 901 E SUNFLOWER RD, CLEVELAND, MS 387322833 (Tel: 3122139732)

📍

Updated Business Mailing Address June 07, 2019

Registered at 901 E SUNFLOWER RD, CLEVELAND, MS 387322833 (Tel: 3122139732)

✅

NPI Profile Active April 21, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2014

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919 (Tel: 3122139732)

📍

Updated Business Mailing Address April 21, 2014

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919 (Tel: 3122139732)

👤

Provider Name / Credentials Updated April 21, 2014

Recorded as CATHERINE PETZINGER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2014

Surgery (License #5101020893 in MI)

🟢

Initial NPI Registration & Enumeration April 21, 2014

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: 1962822692

Entity Type:

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

Enumeration Date: April 21, 2014

Last Update: November 30, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1211 Union Ave Ste 330

Memphis, TN 381046655

Phone: 9014780966

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.