Active NPI 1730474917 Individual Practitioner Female Practitioner

Dr. Gina Maccarone , MD

Surgery • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. Gina Maccarone, MD is a registered healthcare professional specializing in Surgery in Cincinnati, OH. Practice services are available at 4012 HARRISON AVE under active NPI credentials.

Frequently performed procedures and clinical services include critical care, first, insertion of non-tunneled central venous tube for infusion (5 years or older), subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4012 Harrison Ave

Cincinnati, OH 452114627

Telephone 5134004750

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cincinnati, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

96 Specialists

Practicing in Cincinnati, OH (1313 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	200	89	$468.52	$214.05
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	11	$375.00	$83.12

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	46	22	$135.65	$72.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	17	$74.67	$39.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$380.78	$203.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	12	$195.60	$105.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$304.68	$161.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$262.18	$138.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$198.87	$104.70
49652 Repair of hernia using an endoscope	11	11	$1462.00	$704.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	33	$70.00	$39.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	24	$130.00	$72.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	19	$190.00	$103.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$250.00	$135.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$370.00	$200.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$190.00	$104.23
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$150.00	$71.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$290.00	$159.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	46	$70.00	$37.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	57	$250.00	$132.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	29	$130.00	$70.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$190.00	$101.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$290.00	$157.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$190.00	$102.42
49652 Repair of hernia using an endoscope	14	14	$1350.00	$718.72
47562 Removal of gallbladder using an endoscope	12	12	$1370.00	$635.12
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.00	$69.49
49650 Repair of groin hernia using an endoscope	12	12	$1076.83	$443.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$250.00	$133.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	27	$70.00	$38.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$190.00	$100.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$290.00	$156.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	18	$130.00	$70.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	20	$580.00	$106.00
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$150.00	$68.81

Medical Specialties & State Licenses

CMS Verified: 2024-09-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.099438

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.

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location September 24, 2024

Registered at 4012 HARRISON AVE, CINCINNATI, OH 452114627 (Tel: 5134004750)

📍

Updated Business Mailing Address February 05, 2021

Registered at 7880 FINLEY LN, CINCINNATI, OH 452427308 (Tel: 5132184882)

✅

NPI Profile Active December 13, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 13, 2013

Registered at 2123 AUBURN AVE, CINCINNATI, OH 452192906 (Tel: 5135852062)

📍

Updated Business Mailing Address December 13, 2013

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132638571)

👤

Provider Name / Credentials Updated December 13, 2013

Recorded as GINA MACCARONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2013

Surgery (License #35.099438 in OH)

🟢

Initial NPI Registration & Enumeration June 15, 2011

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: 1730474917

Entity Type:

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

Enumeration Date: June 15, 2011

Last Update: September 24, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7880 Finley Ln

Cincinnati, OH 452427308

Phone: 5132184882

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.