Active NPI 1568409738 Individual Practitioner Male Practitioner

Dr. Douglas C Hingsbergen , MD FACS

Surgery • Hamilton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Hingsbergen, MD FACS is a certified Surgery practicing in Hamilton, OH. With approximately 42 years of clinical experience since graduating from Ohio State University College Of Medicine in 1984, Dr. Hingsbergen delivers high-quality medical care to the local community at 25 OFFICE PARK DR.

Dr. Hingsbergen is affiliated with Trihealth H Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, 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

25 Office Park Dr

Hamilton, OH 45013

Telephone 5138441000

Fax 5138963727

Associated Practice Facility / Clinic

🏢 Vascular Diagnostic And Treatment Center Facility NPI 1881604783

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hamilton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +17.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Hamilton, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hingsbergen (42 Years) 42 Yrs

Hamilton Specialty Average (24.5 Years) 24.5 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	51	$95.00	$54.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$236.00	$107.45
99213 Established patient office or other outpatient visit, typically 15 minutes	49	46	$158.00	$87.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	16	$161.00	$76.30

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	90	34	$161.00	$76.44
99213 Established patient office or other outpatient visit, typically 15 minutes	78	70	$158.00	$86.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	37	$95.00	$53.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$236.00	$106.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	26	$451.00	$167.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	74	$158.00	$88.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	23	$161.00	$70.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$236.00	$110.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	34	$95.00	$54.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$451.00	$186.34
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1300.00	$334.69
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$55.00	$18.53
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1616.00	$689.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$361.00	$164.80

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	85	33	$161.00	$71.34
99213 Established patient office or other outpatient visit, typically 15 minutes	84	76	$158.00	$89.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	32	$95.00	$54.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$236.00	$110.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$451.00	$198.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$361.00	$166.53
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1300.00	$338.85
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$55.00	$18.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$158.00	$72.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	23	$161.00	$72.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	26	$95.00	$44.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$236.00	$105.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$451.00	$204.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$361.00	$153.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	68	$158.00	$70.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	46	$95.00	$42.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	26	$87.00	$39.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$236.00	$102.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$161.00	$72.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$451.00	$200.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$305.00	$128.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$361.00	$149.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$620.00	$100.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	112	51	$87.00	$38.50
99213 Established patient office or other outpatient visit, typically 15 minutes	90	80	$158.00	$70.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	53	$95.00	$41.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$236.00	$102.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$161.00	$71.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$451.00	$198.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$305.00	$134.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$361.00	$152.40
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1616.00	$713.54
49505 Repair of groin hernia (5 years or older)	11	11	$1173.00	$540.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	102	52	$87.00	$37.87
99213 Established patient office or other outpatient visit, typically 15 minutes	83	69	$158.00	$69.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	55	$95.00	$41.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$236.00	$102.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$305.00	$130.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$451.00	$192.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$161.00	$70.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$361.00	$152.82
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1616.00	$711.10
49505 Repair of groin hernia (5 years or older)	12	12	$1173.00	$516.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$235.00	$102.99

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35052940

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

64099203 (KY)

Medicaid State Provider ID

0705580 (OH)

Commercial Insurance / Payer ID Railroad Medicare

020033049

Commercial Insurance / Payer ID Amerigroup

222638

Commercial Insurance / Payer ID Caresource

311474851028

Commercial Insurance / Payer ID Humana Choice Care

5294005

Commercial Insurance / Payer ID Humana Choice Care

5294006

Commercial Insurance / Payer ID United Healthcare

1700904

Commercial Insurance / Payer ID Aetna

0644346

Commercial Insurance / Payer ID Humana

311474851

Hospital & Practice Group Affiliations

Trihealth H Llc

379 Dixmyth Ave, Cincinnati, OH 452202475

Phone: 5132467000

Trihealth H Llc

110 N Poplar St, Oxford, OH 450561204

Trihealth H Llc

375 Dixmyth Ave, Cincinnati, OH 452202475

Trihealth H Llc

3055 Hamilton Mason Rd, Fairfield Township, OH 450115307

Practice Associates & Co-Workers

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

7 Associated Practitioners

Andria Salzano , PA-C

Physician Assistant

NPI 1043369218

Physician Assistant (Certified)

Maryann Lancaster , CNP

Nurse Practitioner - Acute Care

NPI 1063880250

Certified Nurse Practitioner

Dr. Kavita Deonarine , MD

Surgery

NPI 1225349137

Doctor of Medicine (M.D.)

Dr. Holenarsipur Ramadas , MD

Surgery - Vascular Surgery

NPI 1659318822

Doctor of Medicine (M.D.)

Leah Fite

Nurse Practitioner

NPI 1720464399

Dr. Ricardo Maddela , DO

Surgery

NPI 1750543088

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2011

Registered at 25 OFFICE PARK DR, HAMILTON, OH 45013 (Tel: 5138441000)

📍

Updated Business Mailing Address April 19, 2011

Registered at 25 OFFICE PARK DR, HAMILTON, OH 45013 (Tel: 5138441000)

👤

Provider Name / Credentials Updated April 19, 2011

Recorded as DOUGLAS HINGSBERGEN, MD FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2011

Surgery (License #35052940 in OH)

🟢

Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568409738

Entity Type:

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

Enumeration Date: May 31, 2006

Last Update: April 19, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

25 Office Park Dr

Hamilton, OH 45013

Phone: 5138441000

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.