Dr. Toms Augustin, MD, MPH - Surgery in Cleveland, OH

Professional Overview & Biography Verified Profile Summary

Dr. Toms Augustin, MD, MPH is a certified Surgery practicing in Cleveland, OH. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Augustin delivers high-quality medical care to the local community at 1730 W 25TH ST.

Dr. Augustin is affiliated with Cleveland Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1730 W 25th St
Suite 2c

Cleveland, OH 441133108

Telephone 2163632331

Associated Practice Facility / Clinic

🏢 Lutheran Hospital Facility NPI 1912950551

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +2.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

233 Specialists

Practicing in Cleveland, OH (1313 Statewide)

Telehealth Adoption Rate

24.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Augustin (23 Years) 23 Yrs

Cleveland Specialty Average (20.2 Years) 20.2 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	50	37	$423.00	$64.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$1209.47	$172.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$624.00	$91.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$845.00	$128.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$228.00	$47.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$270.80	$63.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$974.46	$174.53
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$716.57	$80.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$781.50	$128.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$591.00	$138.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$419.00	$94.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	37	$245.37	$65.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$880.97	$179.59
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$654.60	$98.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$702.80	$136.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$105.20	$35.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$381.00	$95.86

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	44	36	$102.66	$36.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$597.14	$135.36
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$240.00	$66.70
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$567.71	$95.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$386.67	$97.49
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$3844.00	$693.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$362.33	$85.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	71	57	$232.11	$52.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$557.83	$131.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$359.00	$80.70
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$520.00	$101.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$98.13	$28.01
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3816.82	$732.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	77	$226.00	$52.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$548.00	$131.87
99221 Initial hospital inpatient care per day, typically 30 minutes	51	48	$507.06	$100.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$363.84	$76.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	27	$353.34	$72.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	25	$186.00	$39.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$722.00	$135.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$491.00	$112.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	62	60	$494.94	$99.54
99213 Established patient office or other outpatient visit, typically 15 minutes	60	45	$219.00	$51.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	47	$339.00	$80.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	32	$186.00	$38.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$548.00	$133.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$721.13	$134.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$342.00	$71.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$933.58	$198.71
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$3735.00	$681.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$222.46	$53.76
99221 Initial hospital inpatient care per day, typically 30 minutes	63	63	$487.00	$99.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$547.26	$135.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$351.70	$78.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$94.00	$25.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	22	$181.00	$38.37
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$3904.49	$693.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$318.44	$80.25

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.099078

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 PA MT 188179

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.

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Cleveland Clinic

18099 Lorain Ave, Cleveland, OH 441115610

Cleveland Clinic

18101 Lorain Ave, Cleveland, OH 441115612

Phone: 2164767000

Cleveland Clinic

8950 Euclid Ave, Cleveland, OH 441950001

Phone: 2164448950

Cleveland Clinic

20455 Lorain Rd, Fairview Park, OH 441263531

Phone: 2164766961

Cleveland Clinic

18101 Lorain Ave, Cleveland, OH 441115612

Phone: 2166712205

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. James Crandell , MD

Internal Medicine - Cardiovascular Disease

NPI 1396711610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 09, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 09, 2012

Registered at 1730 W 25TH ST, SUITE 2C, CLEVELAND, OH 441133108 (Tel: 2163632331)

📍

Updated Business Mailing Address August 09, 2012

Registered at 1730 W 25TH ST, SUITE 2C, CLEVELAND, OH 441133108 (Tel: 2163632331)

👤

Provider Name / Credentials Updated August 09, 2012

Recorded as TOMS AUGUSTIN, M.D., M.P.H

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2012

Surgery (License #35.099078 in OH)

🟢

Initial NPI Registration & Enumeration October 03, 2007

First registered as active Individual Practitioner in NPPES Database.

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Dr. Toms Augustin , MD, MPH

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Hospital & Practice Group Affiliations

Cleveland Clinic

Cleveland Clinic

Cleveland Clinic

Cleveland Clinic

Cleveland Clinic

Cleveland Clinic

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address