Active NPI 1104885060 Individual Practitioner Male Practitioner

Dr. Anthony F. Behler , MD

Internal Medicine • Fairfield, OH

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Behler, MD is a registered healthcare professional specializing in Internal Medicine in Fairfield, OH. Practice services are available at 5150 SANDY LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, influenza vaccine, quadrivalent inactivated, 0.5 ml dosage. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5150 Sandy Ln

Fairfield, OH 450142738

Telephone 5138969595

Fax 5138964171

Associated Practice Facility / Clinic

🏢 Herzig Krall Medical Group Inc. Facility NPI 1285693010

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fairfield, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.1 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Fairfield, OH (5516 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.5% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	445	264	$109.00	$50.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	211	$159.00	$68.35
G0008 Administration of influenza virus vaccine	130	130	$47.00	$16.07
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	126	126	$129.00	$60.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	37	37	$276.00	$165.81
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$35.00	$16.42
81002 Urinalysis, manual test	17	14	$7.00	$3.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$182.00	$112.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$66.00	$37.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	582	297	$109.00	$46.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	420	253	$159.00	$69.28
G0008 Administration of influenza virus vaccine	163	163	$47.00	$15.75
90653 Vaccine for influenza for injection into muscle	155	155	$100.00	$58.34
G0009 Administration of pneumococcal vaccine	36	36	$47.00	$15.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	11	$42.00	$15.84
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$35.00	$16.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$198.00	$109.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$276.00	$164.38
99495 Transitional care management services for problem of at least moderate complexity	14	13	$241.00	$157.03
90670 Pneumococcal vaccine for injection into muscle	14	14	$385.00	$208.16
81002 Urinalysis, manual test	12	12	$7.00	$3.41
99496 Transitional care management services for problem of high complexity	11	11	$340.00	$221.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	629	313	$109.00	$45.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	503	283	$159.00	$64.09
G0008 Administration of influenza virus vaccine	165	164	$47.00	$19.18
90662 Influenza vaccine split virus, preservative free	160	159	$98.00	$51.81
85610 Blood test, clotting time	101	12	$19.00	$4.75
G0009 Administration of pneumococcal vaccine	65	65	$47.00	$19.30
90670 Pneumococcal vaccine for injection into muscle	35	35	$385.00	$197.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$198.00	$105.59
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$32.00	$16.19
81002 Urinalysis, manual test	27	21	$7.00	$3.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$213.00	$89.64
99495 Transitional care management services for problem of at least moderate complexity	15	15	$241.00	$157.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$87.00	$51.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	721	346	$109.00	$66.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	559	323	$159.00	$97.20
G0008 Administration of influenza virus vaccine	170	170	$47.00	$23.76
90662 Influenza vaccine split virus, preservative free	168	168	$86.00	$47.48
85610 Blood test, clotting time	102	15	$19.00	$5.28
G0009 Administration of pneumococcal vaccine	80	80	$47.00	$23.76
90670 Pneumococcal vaccine for injection into muscle	54	54	$363.00	$186.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	38	$213.00	$127.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	13	$12.00	$1.79
93000 Routine ekg using at least 12 leads including interpretation and report	32	29	$32.00	$16.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$180.00	$94.19
20610 Aspiration and/or injection of fluid from large joint	15	12	$154.13	$60.46
81002 Urinalysis, manual test	13	11	$7.00	$2.93

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35045174

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0540552 (OH)

Commercial Insurance / Payer ID Medicare Rr

P00842714 (OH)

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Samar Hijazi , MD

Internal Medicine

NPI 1003888090

Doctor of Medicine (M.D.)

Dr. Mitul Dadhania , MD

Psychiatry & Neurology - Psychiatry

NPI 1063778454

Doctor of Medicine (M.D.)

Dr. Edward Herzig , MD

Internal Medicine - Rheumatology

NPI 1073573218

Doctor of Medicine (M.D.)

Dr. Ziad Khatib , MD

Internal Medicine

NPI 1083686075

Doctor of Medicine (M.D.)

Dr. Diane Armstrong , MD

Family Medicine

NPI 1104913508

Doctor of Medicine (M.D.)

Lauren Neal , FNP-C

Nurse Practitioner - Family

NPI 1134853401

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2011

Registered at 5150 SANDY LN, FAIRFIELD, OH 450142738 (Tel: 5138969595)

📍

Updated Business Mailing Address August 11, 2011

Registered at 5150 SANDY LN, FAIRFIELD, OH 450142738 (Tel: 5138969595)

👤

Provider Name / Credentials Updated August 11, 2011

Recorded as ANTHONY BEHLER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2011

Internal Medicine (License #35045174 in OH)

🟢

Initial NPI Registration & Enumeration March 20, 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: 1104885060

Entity Type:

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

Enumeration Date: March 20, 2006

Last Update: August 11, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5150 Sandy Ln

Fairfield, OH 450142738

Phone: 5138969595

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.