Active NPI 1942276746 Individual Practitioner Female Practitioner

Dr. Donna M Krummen , MD

Surgery - Plastic and Reconstructive Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donna Krummen, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Cincinnati, OH. With approximately 34 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1992, Dr. Krummen delivers high-quality medical care to the local community at 8211 CORNELL RD.

Dr. Krummen accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

8211 Cornell Rd
Ste 520

Cincinnati, OH 452492273

Telephone 5139850850

Fax 5139850860

Associated Practice Facility / Clinic

🏢 Donna Krummen Md Plastic & Reconstructive Surgery, Llc Facility NPI 1528168648

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +1.8 yrs vs City Avg

City Avg: 32.2 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Cincinnati, OH (73 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Krummen (34 Years) 34 Yrs

Cincinnati Specialty Average (32.2 Years) 32.2 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	47	44	$149.68	$85.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	35	$135.00	$85.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$135.00	$88.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$135.00	$89.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$135.00	$73.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	13	$80.00	$44.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$135.00	$71.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	24	$80.00	$43.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$195.00	$100.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$195.00	$105.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$225.00	$160.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$135.00	$66.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$80.00	$39.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$225.00	$150.67

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	31	24	$80.00	$38.78
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$135.00	$65.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$140.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$97.00

Medical Specialties & State Licenses

CMS Verified: 2024-02-01

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OH 35-068027

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2176694 (OH)

Medicaid State Provider ID

200288230A (IN)

Commercial Insurance / Payer ID Rr Medicare

240007037 (OH)