Active NPI 1467506931 Individual Practitioner Male Practitioner

Dr. Douglas William Hess , MD

Surgery • Bowling Green, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Hess, MD is a certified Surgery practicing in Bowling Green, OH. With approximately 45 years of clinical experience since graduating from Ohio State University College Of Medicine in 1981, Dr. Hess delivers high-quality medical care to the local community at 640 S WINTERGARDEN ROAD.

Dr. Hess accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, diagnostic exam of large bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 S Wintergarden Road

Bowling Green, OH 43402

Telephone 4193521452

Fax 4193521244

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bowling Green, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +14.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Bowling Green, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

9.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hess (45 Years) 45 Yrs

Bowling Green Specialty Average (30.3 Years) 30.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$85.15	$83.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	32	$286.37	$234.25
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$186.87	$165.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$84.55	$79.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$98.97	$97.65
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$51.77	$49.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$102.48	$100.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$49.49	$48.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$281.37	$242.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$85.84	$84.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$98.55	$97.03
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$186.87	$167.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$115.62	$89.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	17	$102.43	$96.31

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	47	47	$85.00	$84.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$96.51	$95.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	32	$252.80	$245.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$116.62	$86.26
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$213.83	$176.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	18	$102.61	$99.45
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$49.54	$48.96
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$68.90	$68.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$136.93	$135.74

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	48	48	$82.25	$82.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$94.69	$94.37
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$189.11	$184.52
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$294.47	$252.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$83.23	$80.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$136.33	$136.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$100.49	$97.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$135.35	$135.35

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	40	40	$77.25	$77.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$80.25	$80.13
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$193.08	$184.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$99.43	$96.73
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$51.61	$51.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	17	$106.02	$103.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$263.76	$250.03
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$52.24	$52.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$132.09	$131.93

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	41	41	$78.93	$75.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$315.11	$249.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$81.42	$77.50
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$55.61	$49.52
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$297.50	$178.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$100.36	$90.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	21	$105.62	$98.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$127.29	$121.61
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$51.95	$50.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$119.70	$102.44
45380 Biopsy of large bowel using an endoscope	11	11	$211.66	$196.88

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	79	79	$80.29	$75.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	47	$308.80	$240.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$97.84	$76.14
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$210.00	$171.41
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$53.96	$50.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$111.06	$91.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	24	$106.19	$99.30
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$53.58	$50.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$131.75	$123.28
45380 Biopsy of large bowel using an endoscope	13	13	$212.76	$197.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$112.98	$110.29

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	55	49	$80.11	$75.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$81.04	$75.74
45378 Diagnostic exam of large bowel using a flexible endoscope	42	41	$193.54	$178.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$137.18	$85.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	32	$134.73	$98.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	32	$268.80	$248.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$135.06	$129.25
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$56.98	$49.75
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$76.98	$50.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$117.22	$111.76
45380 Biopsy of large bowel using an endoscope	14	14	$212.89	$188.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 046644

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

0684693 (OH)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 07, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2011

Registered at 640 S WINTERGARDEN ROAD, BOWLING GREEN, OH 43402 (Tel: 4193521452)

📍

Updated Business Mailing Address October 07, 2011

Registered at 640 S WINTERGARDEN ROAD, BOWLING GREEN, OH 43402 (Tel: 4193521452)

👤

Provider Name / Credentials Updated October 07, 2011

Recorded as DOUGLAS HESS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2011

Surgery (License #046644 in OH)

🟢

Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467506931

Entity Type:

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

Enumeration Date: January 22, 2007

Last Update: October 07, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

640 S Wintergarden Road

Bowling Green, OH 43402

Phone: 4193521452

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.