Active NPI 1801185541 Individual Practitioner Female Practitioner

Dr. Eveline Rusdianto Klenotic , DO, FACS

Surgery • Canton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eveline Klenotic, DO, FACS is a certified Surgery practicing in Canton, OH. With approximately 15 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 2011, Dr. Klenotic delivers high-quality medical care to the local community at 2600 SIXTH ST SW.

Dr. Klenotic maintains professional affiliations with Ohio Physician Professional Corporation, Summa Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, new patient outpatient office visit, 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

2600 Sixth St Sw

Canton, OH 447101702

Telephone 3303446000

Associated Practice Facility / Clinic

🏢 Radiology Associates Of Canton, Inc. Facility NPI 1912982034

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Canton, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Canton, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Klenotic (15 Years) 15 Yrs

Canton Specialty Average (21.4 Years) 21.4 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
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	23	12	$47.00	$29.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$273.00	$172.00

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	23	23	$100.00	$96.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$153.00	$143.87

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	150	54	$102.00	$70.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	48	$95.00	$95.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	49	$151.67	$141.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$279.66	$134.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$288.64	$172.40
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	23	17	$48.39	$31.79
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$88.57	$60.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$197.00	$133.49

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	240	65	$102.00	$71.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	29	$96.45	$78.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	36	$197.00	$136.80
99213 Established patient office or other outpatient visit, typically 15 minutes	28	14	$76.04	$51.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$289.00	$200.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$153.70	$111.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$247.14	$125.40
76937 Ultrasonic guidance for blood vessel access	14	11	$23.00	$14.41

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	213	82	$102.00	$71.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	11	$98.00	$67.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$197.00	$135.34
99213 Established patient office or other outpatient visit, typically 15 minutes	26	13	$79.42	$50.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$124.00	$77.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$237.24	$127.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$147.00	$102.76
76937 Ultrasonic guidance for blood vessel access	16	13	$23.00	$14.43
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	14	$286.00	$86.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$289.00	$199.82

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	52	26	$102.00	$71.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	30	$126.56	$75.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	16	$147.00	$102.14
99213 Established patient office or other outpatient visit, typically 15 minutes	29	19	$108.59	$50.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	22	$289.00	$198.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	11	$197.00	$134.04
76937 Ultrasonic guidance for blood vessel access	13	11	$22.85	$14.26

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	52	21	$102.00	$70.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	16	$147.00	$101.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$289.00	$197.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$124.00	$76.59
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1061.00	$267.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$242.33	$137.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$197.00	$133.62

Medical Specialties & State Licenses

CMS Verified: 2023-07-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 34.011721

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 AR E-15091

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Summa Physicians Llc

95 Arch St, Akron, OH 443041467

Phone: 3304344145

Ohio Physician Professional Corporation

2600 W 6th St, Canton, OH 447101702

Ohio Physician Professional Corporation

2600 6th Swst, Canton, OH 447101702

Phone: 3303631342

Ohio Physician Professional Corporation

2600 6th St Sw, Canton, OH 447101702

Phone: 3304548076

Summa Physicians Llc

525 E Market St, Akron, OH 443041619

Summa Physicians Llc

1790 Graybill Rd, Green, OH 446857993

Secondary Practice Locations

4301 W Markham St # 725

Little Rock, AR 722057101

Phone: 5012961200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Cassie Carney , DO

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1003049115

Doctor of Osteopathic Medicine (D.O.)

Hannah Lazar , APRNCRNA

Nurse Anesthetist, Certified Registered

NPI 1003382862

Marina Tompkins , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003884362

Certified Registered Nurse Anesthetist

Dr. Shamsa Baaj , MD

Anesthesiology

NPI 1013370162

Doctor of Medicine (M.D.)

Lisa Young

Nurse Practitioner - Family

NPI 1013466879

Kevin Wires , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013547496

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location July 19, 2023

Registered at 2600 SIXTH ST SW, CANTON, OH 447101702 (Tel: 3303446000)

📍

Updated Business Mailing Address July 19, 2023

Registered at PO BOX 80690, CANTON, OH 447080690 (Tel: 3303637444)

👤

Provider Name / Credentials Updated July 19, 2023

Recorded as EVELINE KLENOTIC, DO, FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2023

Surgery (License #E-15091 in AR)

📍

Updated Practice Location August 23, 2022

Registered at 4301 W MARKHAM ST # 725, LITTLE ROCK, AR 722057101 (Tel: 5012961200)

📍

Updated Business Mailing Address August 23, 2022

Registered at 4301 W MARKHAM ST # 783, LITTLE ROCK, AR 722057101 (Tel: 5016868000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2022

Surgery (License #34.011721 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active September 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2016

Registered at 400 WABASH AVE, AKRON, OH 443072433 (Tel: 3303446000)

📍

Updated Business Mailing Address September 21, 2016

Registered at 5105 SOM CENTER RD, STE 107, WILLOUGHBY, OH 440944203 (Tel: 4409535712)

👤

Provider Name / Credentials Updated September 21, 2016

Recorded as EVELINE KLENOTIC, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Surgery (License #34.011721 in OH)

🟢

Initial NPI Registration & Enumeration April 04, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1801185541

Entity Type:

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

Enumeration Date: April 04, 2011

Last Update: July 19, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 80690

Canton, OH 447080690

Phone: 3303637444

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.