Active NPI 1093786857 Individual Practitioner Male Practitioner

Dr. Douglas A Pope , MD

Internal Medicine • Lancaster, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Pope, MD is a certified Internal Medicine practicing in Lancaster, OH. With approximately 33 years of clinical experience since graduating from Ohio State University College Of Medicine in 1993, Dr. Pope delivers high-quality medical care to the local community at 1548 SHERIDAN DR.

Dr. Pope is affiliated with Fairfield Healthcare Professionals Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of 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

1548 Sheridan Dr
Suite 200

Lancaster, OH 43130

Telephone 7406899860

Fax 7406899863

Associated Practice Facility / Clinic

🏢 Buckeye Family Health Llc Facility NPI 1407985724

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +14.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

38 Specialists

Practicing in Lancaster, OH (5516 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pope (33 Years) 33 Yrs

Lancaster Specialty Average (18.3 Years) 18.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	311	141	$115.32	$74.45
99239 Hospital discharge day management, more than 30 minutes	145	140	$165.00	$106.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	77	$305.00	$164.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	40	$72.00	$45.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	38	$171.00	$112.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$210.00	$123.81

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	274	121	$115.00	$77.25
99239 Hospital discharge day management, more than 30 minutes	118	114	$165.00	$111.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	67	40	$72.00	$48.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	39	$171.00	$116.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	55	$305.00	$167.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$210.00	$127.21

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	322	123	$110.00	$69.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	76	$160.00	$100.35
99239 Hospital discharge day management, more than 30 minutes	98	95	$160.00	$100.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	40	$305.00	$195.30
99217 Hospital observation care on day of discharge	23	23	$110.00	$66.63
99225 Subsequent observation care, typically 25 minutes per day	16	13	$110.00	$62.66
99220 Hospital observation care, typically 70 minutes	15	15	$280.00	$175.92

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	350	130	$110.00	$71.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	94	$160.00	$102.52
99239 Hospital discharge day management, more than 30 minutes	133	128	$160.00	$104.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$305.00	$198.82
99220 Hospital observation care, typically 70 minutes	39	39	$280.00	$177.07
99217 Hospital observation care on day of discharge	32	32	$110.00	$69.53

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	335	143	$110.00	$71.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	172	99	$158.78	$103.25
99239 Hospital discharge day management, more than 30 minutes	141	134	$160.00	$104.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$305.00	$200.82
99217 Hospital observation care on day of discharge	23	23	$114.35	$71.86
99220 Hospital observation care, typically 70 minutes	18	18	$280.00	$184.22

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	419	194	$109.11	$70.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	229	126	$155.00	$101.61
99239 Hospital discharge day management, more than 30 minutes	190	176	$159.00	$103.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	60	$301.98	$191.97
99217 Hospital observation care on day of discharge	36	36	$110.11	$71.03
99220 Hospital observation care, typically 70 minutes	25	25	$272.00	$180.06

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	489	201	$108.10	$71.31
99239 Hospital discharge day management, more than 30 minutes	171	168	$158.70	$105.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	104	75	$155.00	$102.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	80	$301.00	$197.55
99217 Hospital observation care on day of discharge	44	44	$109.16	$71.28
99220 Hospital observation care, typically 70 minutes	34	34	$276.00	$182.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	17	$58.00	$38.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$203.00	$134.04
99225 Subsequent observation care, typically 25 minutes per day	16	15	$108.00	$71.61
99238 Hospital discharge day management, 30 minutes or less	14	14	$108.00	$71.41

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	544	217	$131.35	$70.19
99239 Hospital discharge day management, more than 30 minutes	175	166	$188.01	$104.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	155	75	$62.84	$38.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	106	81	$183.98	$100.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$357.77	$195.81
99217 Hospital observation care on day of discharge	39	39	$125.95	$70.75
99220 Hospital observation care, typically 70 minutes	36	36	$319.50	$181.35
99225 Subsequent observation care, typically 25 minutes per day	28	23	$134.25	$71.06
99238 Hospital discharge day management, 30 minutes or less	15	15	$131.00	$70.43

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35 06 7069 P

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35 06 7069 P

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2020922 (OH)

Hospital & Practice Group Affiliations

Fairfield Healthcare Professionals Inc

401 N Ewing St, Lancaster, OH 431303372

Phone: 7406896680

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Mark Lepi , MD

Internal Medicine

NPI 1396716155

Doctor of Medicine (M.D.)

Dr. Laura Morgan , MD

Internal Medicine

NPI 1477524247

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active August 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2012

Registered at 1548 SHERIDAN DR, SUITE 200, LANCASTER, OH 43130 (Tel: 7406899860)

📍

Updated Business Mailing Address August 24, 2012

Registered at 1548 SHERIDAN DR, SUITE 200, LANCASTER, OH 43130 (Tel: 7406899860)

👤

Provider Name / Credentials Updated August 24, 2012

Recorded as DOUGLAS POPE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2012

Internal Medicine (License #35 06 7069 P in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2012

Pediatrics (License #35 06 7069 P in OH)

🟢

Initial NPI Registration & Enumeration January 30, 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: 1093786857

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: August 24, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1548 Sheridan Dr, Suite 200

Lancaster, OH 43130

Phone: 7406899860

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.