Active NPI 1134217862 Individual Practitioner Male Practitioner

Dr. Kenneth C. Graffeo , MD

Surgery • Delaware, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Graffeo, MD is a certified Surgery practicing in Delaware, OH. With approximately 27 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1999, Dr. Graffeo delivers high-quality medical care to the local community at 551 W CENTRAL AVE STE 103.

Dr. Graffeo is affiliated with Ohiohealth Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, biopsy of large bowel using an endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

551 W Central Ave Ste 103

Delaware, OH 430151498

Telephone 7403631473

Fax 7403695718

Associated Practice Facility / Clinic

🏢 Delaware Surgical Specialists, Llc Facility NPI 1760570402

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Delaware, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +4.2 yrs vs City Avg

City Avg: 22.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Delaware, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graffeo (27 Years) 27 Yrs

Delaware Specialty Average (22.8 Years) 22.8 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
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	130	128	$17.00	$5.67
45380 Biopsy of large bowel using an endoscope	85	85	$800.75	$132.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	54	53	$948.00	$247.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$526.00	$103.97
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$126.00	$88.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	24	24	$668.00	$181.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$187.00	$125.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$291.00	$163.46
49650 Repair of groin hernia using an endoscope	15	15	$1598.53	$489.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$245.00	$128.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	108	106	$17.00	$5.36
45380 Biopsy of large bowel using an endoscope	66	66	$799.00	$102.68
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	56	56	$948.00	$247.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$526.00	$119.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$187.00	$120.26
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$126.00	$87.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$291.00	$153.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$668.00	$168.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$668.00	$179.76
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$447.00	$97.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	102	100	$17.00	$5.48
45380 Biopsy of large bowel using an endoscope	62	62	$799.00	$119.29
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	52	$948.00	$252.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	31	$526.00	$114.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$291.00	$164.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$668.00	$183.34
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$126.00	$86.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$187.00	$124.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$245.00	$132.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	116	114	$17.00	$5.51
45380 Biopsy of large bowel using an endoscope	54	54	$799.00	$134.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$948.00	$255.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	33	$526.00	$114.89
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$126.00	$90.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$187.00	$124.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$245.00	$135.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$189.00	$110.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$668.00	$187.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$291.00	$166.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	128	125	$17.00	$5.74
45380 Biopsy of large bowel using an endoscope	50	49	$799.00	$145.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$948.00	$261.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$526.00	$119.52
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$126.00	$71.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$189.00	$105.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$149.40	$74.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$187.00	$107.19
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$91.00	$51.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$140.00	$79.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$668.00	$183.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$245.00	$127.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	119	117	$17.00	$5.63
45380 Biopsy of large bowel using an endoscope	47	47	$799.00	$152.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$526.00	$116.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$948.00	$251.32
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$126.00	$71.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$189.00	$101.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$187.00	$103.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$139.00	$69.77
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$668.00	$182.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$245.00	$132.38
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$181.00	$100.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	101	96	$17.00	$5.55
45380 Biopsy of large bowel using an endoscope	51	49	$799.00	$164.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$526.00	$119.14
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$126.00	$67.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$948.00	$255.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$189.00	$100.74
99213 Established patient office or other outpatient visit, typically 15 minutes	18	11	$91.00	$49.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$187.00	$103.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	98	98	$17.00	$5.37
45380 Biopsy of large bowel using an endoscope	60	60	$799.00	$143.88
99213 Established patient office or other outpatient visit, typically 15 minutes	52	37	$126.00	$67.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$526.00	$95.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$948.00	$249.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$189.00	$94.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$71.00	$37.23
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$91.00	$48.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$187.00	$99.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$139.00	$70.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$245.00	$129.82
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$447.00	$86.39
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$668.00	$175.90
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$668.00	$180.79
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$668.00	$180.11

Medical Specialties & State Licenses

CMS Verified: 2022-09-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.084804

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License OH 35.084804

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2499523 (OH)

Hospital & Practice Group Affiliations

Ohiohealth Corporation

90 E William St, Delaware, OH 430152149

Phone: 7406150450

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Michelle Wood , DO

Surgery

NPI 1962600916

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 22, 2022

Registered at 551 W CENTRAL AVE STE 103, DELAWARE, OH 430151498 (Tel: 7403631473)

📍

Updated Business Mailing Address September 22, 2022

Registered at PO BOX 7527, DUBLIN, OH 430170727 (Tel: 7406151324)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2022

Specialist (License #35.084804 in OH)

📍

Updated Practice Location January 05, 2022

Registered at 90 E WILLIAM ST, DELAWARE SURGICAL SPECIALIST, DELAWARE, OH 430152149 (Tel: 7403631473)

📍

Updated Business Mailing Address January 05, 2022

Registered at DEPT L-3652, COLUMBUS, OH 432603652 (Tel: 7406151324)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2022

Specialist (License #35084804 in OH)

📍

Updated Business Mailing Address November 15, 2021

Registered at PO BOX 7527, DUBLIN, OH 430170727

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2021

Specialist (License #35.084804 in OH)

✅

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2015

Registered at 90 E. WILLIAM STREET, DELAWARE SURGICAL SPECIALIST, DELAWARE, OH 430152149 (Tel: 7403631473)

📍

Updated Business Mailing Address August 25, 2015

Registered at DEPT L-3652, COLUMBUS, OH 432603652 (Tel: 7406151324)

👤

Provider Name / Credentials Updated August 25, 2015

Recorded as KENNETH GRAFFEO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Specialist (License #35.084804 in OH)

🟢

Initial NPI Registration & Enumeration October 10, 2006

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: 1134217862

Entity Type:

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

Enumeration Date: October 10, 2006

Last Update: September 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7527

Dublin, OH 430170727

Phone: 7406151324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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