Active NPI 1710963475 Individual Practitioner Male Practitioner

Dr. Adolfo Richard Desandre , MD

Surgery • Bolivia, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adolfo Desandre, MD is a certified Surgery practicing in Bolivia, NC. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Desandre delivers high-quality medical care to the local community at 257 HOSPITAL DRIVE SUITE 200.

Dr. Desandre is affiliated with Novant Health Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

257 Hospital Drive Suite 200

Bolivia, NC 284228411

Telephone 9107214000

Fax 9107214001

Associated Practice Facility / Clinic

🏢 Novant Health Medical Group, Llc Facility NPI 1336229384

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bolivia, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +23.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Bolivia, NC (1222 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Desandre (45 Years) 45 Yrs

Bolivia Specialty Average (21.3 Years) 21.3 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	206	179	$192.16	$84.84
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	79	79	$1128.00	$173.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	68	68	$962.00	$167.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	56	$1274.00	$89.17
96127 Assessment of emotional or behavioral problems	47	47	$17.00	$4.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	23	$200.00	$73.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$341.00	$104.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	31	31	$1399.00	$222.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$962.00	$168.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$291.00	$119.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$562.00	$161.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$136.00	$52.67
76536 Ultrasound of head and neck	12	12	$191.00	$74.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$403.00	$121.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	206	$187.46	$85.57
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	80	80	$1128.00	$163.23
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	64	64	$962.00	$172.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	25	$283.00	$113.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$341.00	$105.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	41	$1245.02	$85.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	40	$291.00	$121.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$1307.92	$237.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	28	$562.00	$165.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$136.00	$53.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$962.00	$172.42
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$982.00	$173.33
76536 Ultrasound of head and neck	13	13	$191.00	$78.63
45380 Biopsy of large bowel using an endoscope	12	12	$1143.00	$101.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$484.00	$158.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	288	243	$160.82	$88.54
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	108	107	$1128.00	$187.03
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	90	90	$962.00	$181.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$243.22	$109.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	52	$238.18	$125.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	47	$849.00	$109.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$1288.00	$245.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	22	$243.05	$100.03
45380 Biopsy of large bowel using an endoscope	29	28	$1143.00	$108.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$473.21	$193.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$358.00	$163.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$962.00	$181.14
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	17	16	$41.00	$8.04
10005 Fine needle aspiration of first lesion using ultrasound guidance	16	11	$675.00	$135.70
45381 Injection beneath lining of large bowel using a flexible endoscope	13	13	$1111.00	$29.32
76536 Ultrasound of head and neck	12	12	$171.00	$82.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	281	$158.00	$89.56
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	114	114	$1128.00	$174.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$234.00	$110.19
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	70	70	$962.00	$184.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	67	$849.00	$79.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	64	63	$1288.00	$249.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	44	$233.00	$127.45
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	39	$41.00	$8.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	13	$236.00	$101.61
45380 Biopsy of large bowel using an endoscope	24	24	$1143.00	$115.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$459.00	$196.85
47562 Removal of gallbladder using an endoscope	21	21	$1832.33	$637.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$99.00	$55.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$962.00	$184.64
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$962.00	$178.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$358.00	$165.26
45381 Injection beneath lining of large bowel using a flexible endoscope	17	16	$1111.00	$15.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	257	$158.00	$73.39
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	126	126	$1128.00	$200.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$234.00	$105.27
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	64	64	$962.00	$186.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	57	57	$849.00	$78.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$233.00	$106.78
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1288.00	$257.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$358.00	$161.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	19	$231.53	$103.98
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$962.00	$187.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	29	$39.00	$8.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$443.57	$201.40
45380 Biopsy of large bowel using an endoscope	13	13	$1143.00	$145.20
76536 Ultrasound of head and neck	13	12	$171.00	$83.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$312.00	$144.08
10005 Fine needle aspiration of first lesion using ultrasound guidance	12	12	$675.00	$121.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	366	300	$158.00	$71.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$234.00	$104.45
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	141	140	$1128.00	$195.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	70	69	$849.00	$97.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	59	59	$962.00	$181.77
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	39	39	$962.00	$182.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	37	34	$37.00	$8.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1288.00	$245.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$405.00	$197.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	21	$213.00	$101.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$233.00	$105.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$358.00	$159.22
47562 Removal of gallbladder using an endoscope	14	14	$1673.00	$620.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$149.00	$71.22
45380 Biopsy of large bowel using an endoscope	12	11	$1143.00	$139.57
10005 Fine needle aspiration of first lesion using ultrasound guidance	12	12	$675.00	$122.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	429	327	$158.00	$69.78
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	144	142	$1128.00	$208.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$234.00	$102.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	69	69	$962.00	$181.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$849.00	$82.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$962.00	$179.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	12	$213.00	$100.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1288.00	$252.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$233.00	$103.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$149.00	$70.28
10022 Fine needle aspiration using imaging guidance	16	12	$608.00	$134.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$358.00	$157.64
43249 Balloon dilation of esophagus using an endoscope	13	13	$414.00	$136.80
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$390.46	$52.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	296	$149.83	$69.65
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	102	102	$1128.00	$204.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$221.74	$102.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	51	51	$962.00	$182.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	48	$814.44	$91.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	19	$213.00	$100.88
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$962.00	$182.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1288.00	$252.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$405.00	$195.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$220.50	$102.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$277.00	$132.12
47562 Removal of gallbladder using an endoscope	13	13	$1673.00	$634.19

Medical Specialties & State Licenses

CMS Verified: 2023-05-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 9801631

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 20712

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8911805 (NC)

Commercial Insurance / Payer ID Sc Medical License

20712 (SC)

Commercial Insurance / Payer ID Nc Medical License

9801631 (NC)

Hospital & Practice Group Affiliations

Novant Health Medical Group, Llc

584 Hospital Dr Ne, Bolivia, NC 284220020

Phone: 8107214200

Secondary Practice Locations

584 Hospital Dr, Suite A

Bolivia, NC 28422

Phone: 9107214000

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Breanna Durbin , MD

Surgery

NPI 1023570629

Doctor of Medicine (M.D.)

Dr. Matt Benenati , DO

Surgery

NPI 1104058817

Doctor of Osteopathic Medicine (D.O.)

Alex Fletcher

Surgery

NPI 1184186611

Dr. Richard Scallion , MD

Surgery

NPI 1215047543

Doctor of Medicine (M.D.)

Joseph Smith

Surgery

NPI 1245498013

Dr. Mark Tillotson , MD

Surgery

NPI 1649256850

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 11, 2023

Registered at 257 HOSPITAL DRIVE SUITE 200, BOLIVIA, NC 284228411 (Tel: 9107214000)

✅

NPI Profile Active February 19, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2013

Registered at 584 HOSPITAL DR, SUITE A, BOLIVIA, NC 28422 (Tel: 9107214000)

📍

Updated Business Mailing Address February 19, 2013

Registered at PO BOX 60447, CHARLOTTE, NC 282600447 (Tel: 7043847840)

👤

Provider Name / Credentials Updated February 19, 2013

Recorded as ADOLFO DESANDRE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2013

Surgery (License #9801631 in NC)

🟢

Initial NPI Registration & Enumeration December 15, 2005

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: 1710963475

Entity Type:

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

Enumeration Date: December 15, 2005

Last Update: May 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 60447

Charlotte, NC 282600447

Phone: 7043847840

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.