Active NPI 1689656696 Individual Practitioner Male Practitioner

Dr. Jeffrey A. Pruitt , MD

Surgery • Defiance, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Pruitt, MD is a certified Surgery practicing in Defiance, OH. With approximately 39 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1987, Dr. Pruitt delivers high-quality medical care to the local community at 1400 E 2ND ST.

Dr. Pruitt maintains professional affiliations with Mercy Health Physicians North Specialty Care Llc, Mercy Medical Partners Northern Region Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, 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

1400 E 2nd St

Defiance, OH 435122440

Telephone 4197841414

Associated Practice Facility / Clinic

🏢 Fauster Cameron Inc. Facility NPI 1649253964

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Defiance, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +6.7 yrs vs City Avg

City Avg: 32.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Defiance, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pruitt (39 Years) 39 Yrs

Defiance Specialty Average (32.3 Years) 32.3 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
45380 Biopsy of large bowel using an endoscope	39	37	$625.00	$134.88
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$73.82	$45.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$122.74	$78.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$166.84	$105.27
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$117.38	$66.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$84.82	$52.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$53.81	$33.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$450.00	$87.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$360.00	$172.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$60.00	$47.09
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$850.00	$237.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	15	$104.00	$74.90
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$98.69	$62.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$149.00	$112.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$126.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	76	13	$101.00	$53.68
45380 Biopsy of large bowel using an endoscope	47	45	$625.00	$159.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	29	$53.00	$34.31
99213 Established patient office or other outpatient visit, typically 15 minutes	41	28	$98.00	$63.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$450.00	$100.77
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$146.00	$80.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$122.00	$80.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$60.00	$48.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$198.00	$125.89
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$481.00	$148.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	41	41	$625.00	$160.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	23	$53.00	$35.70
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$98.00	$65.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$121.92	$82.04
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$146.00	$98.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$144.00	$95.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$450.00	$101.23
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$360.00	$180.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$198.00	$132.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	43	43	$625.00	$165.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	29	$54.58	$35.57
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$109.92	$64.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$121.00	$82.90
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$146.00	$99.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$450.00	$88.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$142.39	$94.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	15	$60.00	$37.67
45378 Diagnostic exam of large bowel using a flexible endoscope	16	15	$481.00	$158.58
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$73.00	$48.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$850.00	$252.52

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	47	34	$39.98	$25.26
11042 Removal of skin and tissue, 20.0 sq cm or less	31	12	$101.00	$60.23
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$96.00	$50.95
45380 Biopsy of large bowel using an endoscope	26	26	$625.00	$174.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$112.00	$75.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$115.00	$78.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$450.00	$109.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$60.00	$39.00
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$146.00	$101.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97597 Removal of tissue from wound, 20.0 sq cm or less	99	24	$170.00	$83.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	56	$66.00	$42.86
45380 Biopsy of large bowel using an endoscope	54	53	$625.00	$164.75
11042 Removal of skin and tissue, 20.0 sq cm or less	50	18	$194.00	$112.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$161.00	$102.15
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$109.00	$71.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$159.00	$104.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$450.00	$113.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	21	$60.00	$38.55
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$112.00	$73.09
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$146.00	$99.26
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$66.00	$43.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$850.00	$229.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	11	$360.00	$178.08
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1400.00	$336.71

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	88	51	$66.00	$41.47
97597 Removal of tissue from wound, 20.0 sq cm or less	55	20	$130.00	$78.56
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$109.00	$67.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	45	$159.00	$100.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$161.00	$102.19
45380 Biopsy of large bowel using an endoscope	37	35	$625.00	$153.20
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	25	$450.00	$119.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	19	$56.00	$38.47
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$146.00	$99.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$246.00	$149.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	13	$850.00	$235.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$213.00	$140.00
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$360.00	$186.99
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$465.00	$168.20
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$239.00	$82.88
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$112.00	$72.06

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	108	68	$66.00	$41.42
97597 Removal of tissue from wound, 20.0 sq cm or less	99	20	$127.00	$70.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	68	$159.00	$102.98
99213 Established patient office or other outpatient visit, typically 15 minutes	54	49	$109.00	$69.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$161.00	$103.58
45380 Biopsy of large bowel using an endoscope	36	36	$625.00	$171.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	36	$450.00	$122.70
36415 Insertion of needle into vein for collection of blood sample	31	25	$8.00	$2.94
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$146.00	$99.17
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	26	20	$22.00	$10.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$246.00	$158.44
45378 Diagnostic exam of large bowel using a flexible endoscope	21	20	$465.00	$167.21
80053 Blood test, comprehensive group of blood chemicals	20	16	$30.00	$14.20
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$112.00	$71.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$213.00	$139.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$56.00	$38.36
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$66.00	$40.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$850.00	$257.47

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35062785P

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

0878028 (OH)

Hospital & Practice Group Affiliations

Mercy Medical Partners Northern Region Specialty Care Llc

1600 E Riverview Ave, Napoleon, OH 435459399

Phone: 4195913832

Mercy Health Physicians North Specialty Care Llc

3900 Sunforest Ct, Toledo, OH 436234481

Phone: 4194751600

Mercy Health Physicians North Specialty Care Llc

27 St Lawrence Dr, Tiffin, OH 448838314

Phone: 4194558500

Mercy Health Physicians North Specialty Care Llc

45 St Lawrence Dr, Tiffin, OH 448838310

Phone: 4194558501

Practice Associates & Co-Workers

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

40 Associated Practitioners

Douglas Lee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013990217

Certified Registered Nurse Anesthetist

Dr. John Racciato , MD

Ophthalmology

NPI 1033191911

Doctor of Medicine (M.D.)

Dr. Tricia Vandehey , MD

Family Medicine

NPI 1053302471

Doctor of Medicine (M.D.)

Dr. William Finerty , DPM

Podiatrist

NPI 1073595328

Doctor of Podiatric Medicine

Molly Knepley , OT

Occupational Therapist

NPI 1104296896

Occupational Therapist

Dr. John Shaw , MD

Surgery

NPI 1104858745

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 March 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2011

Registered at 1400 E 2ND ST, DEFIANCE, OH 435122440 (Tel: 4197841414)

📍

Updated Business Mailing Address March 21, 2011

Registered at 1400 E 2ND ST, DEFIANCE, OH 435122440 (Tel: 4197841414)

👤

Provider Name / Credentials Updated March 21, 2011

Recorded as JEFFREY PRUITT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2011

Surgery (License #35062785P in OH)

🟢

Initial NPI Registration & Enumeration November 16, 2005

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: 1689656696

Entity Type:

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

Enumeration Date: November 16, 2005

Last Update: March 21, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1400 E 2nd St

Defiance, OH 435122440

Phone: 4197841414

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.