Active NPI 1235390618 Individual Practitioner Female Practitioner

Heather A Rethman , CNP-ACNP

Nurse Practitioner - Acute Care • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Rethman, CNP-ACNP is a certified Nurse Practitioner - Acute Care practicing in Lima, OH. With approximately 19 years of clinical experience since completing medical education in 2007, Heather Rethman delivers high-quality medical care to the local community at 730 W MARKET ST.

Heather Rethman is affiliated with Mercy Health Physicians Lima Specialty Care Llc 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, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

730 W Market St

Lima, OH 458014602

Telephone 4192264310

Fax 4192264315

Associated Practice Facility / Clinic

🏢 Lima Emergency Physicians Inc Facility NPI 1033118526

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Lima, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +10.3 yrs vs City Avg

City Avg: 8.7 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

24 Specialists

Practicing in Lima, OH (1690 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rethman (19 Years) 19 Yrs

Lima Specialty Average (8.7 Years) 8.7 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	297	170	$104.00	$63.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	243	146	$149.00	$95.28
99239 Hospital discharge day management, more than 30 minutes	162	154	$154.00	$88.47
99238 Hospital discharge day management, 30 minutes or less	24	24	$111.00	$62.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$291.00	$140.44

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	257	149	$104.00	$64.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	257	153	$149.00	$97.78
99239 Hospital discharge day management, more than 30 minutes	151	147	$154.00	$92.03
99238 Hospital discharge day management, 30 minutes or less	30	30	$111.00	$66.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$291.00	$142.49

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	391	187	$104.00	$59.43
99239 Hospital discharge day management, more than 30 minutes	122	118	$154.00	$80.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	71	$149.00	$85.26
99225 Subsequent observation care, typically 25 minutes per day	51	41	$115.00	$59.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	43	$291.00	$165.61
99217 Hospital observation care on day of discharge	22	22	$107.00	$57.23
99220 Hospital observation care, typically 70 minutes	16	16	$265.00	$141.96

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	507	238	$103.94	$59.82
99239 Hospital discharge day management, more than 30 minutes	140	136	$154.00	$81.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	78	$149.00	$86.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	105	$291.00	$164.96
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$146.00	$84.56
99220 Hospital observation care, typically 70 minutes	24	24	$265.00	$151.61
99225 Subsequent observation care, typically 25 minutes per day	23	20	$115.00	$59.91
99217 Hospital observation care on day of discharge	15	15	$107.00	$59.84
99238 Hospital discharge day management, 30 minutes or less	13	13	$111.00	$59.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$60.00	$32.02

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	277	161	$103.00	$60.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	182	115	$149.00	$87.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	161	154	$291.00	$169.72
99239 Hospital discharge day management, more than 30 minutes	121	118	$154.00	$86.16
99220 Hospital observation care, typically 70 minutes	34	33	$265.00	$151.47
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$146.00	$85.93
99226 Subsequent observation care, typically 35 minutes per day	26	24	$165.00	$88.44
99217 Hospital observation care on day of discharge	21	20	$107.00	$61.20
99225 Subsequent observation care, typically 25 minutes per day	18	16	$115.00	$61.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	204	198	$291.00	$167.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	203	118	$149.00	$86.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	97	$103.00	$60.11
99239 Hospital discharge day management, more than 30 minutes	86	85	$154.00	$77.98
99220 Hospital observation care, typically 70 minutes	49	49	$265.00	$154.39
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$146.00	$84.42
99217 Hospital observation care on day of discharge	15	15	$107.00	$60.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	137	$159.00	$87.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	46	$103.00	$59.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	28	$149.00	$86.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$291.00	$168.96
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$109.00	$59.59
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$146.00	$84.63
99239 Hospital discharge day management, more than 30 minutes	12	12	$154.00	$89.40
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	12	12	$85.00	$23.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$213.00	$119.01

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	295	204	$103.00	$59.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	218	154	$149.00	$86.32
99239 Hospital discharge day management, more than 30 minutes	128	126	$154.00	$88.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	87	$291.00	$167.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$159.00	$87.43
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$146.00	$84.36
99217 Hospital observation care on day of discharge	25	25	$104.00	$60.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$198.00	$113.75
99220 Hospital observation care, typically 70 minutes	14	14	$265.00	$154.11

Medical Specialties & State Licenses

CMS Verified: 2024-10-18

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License OH APRN.CNP.09901

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2970450 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Lima Specialty Care Llc

730 W Market St, Lima, OH 458014602

Phone: 4192264310

Practice Associates & Co-Workers

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

40 Associated Practitioners

Nadia Ghallab

Internal Medicine

NPI 1003234394

Amanda Laird

Nurse Practitioner - Acute Care

NPI 1033682190

Dr. Amy Hovest , MD

Hospitalist

NPI 1063547479

Doctor of Medicine (M.D.)

Dr. Yaser Hamwi , MD

Internal Medicine

NPI 1114049475

Doctor of Medicine (M.D.)

Dr. Dilpreet Singh , MD

Internal Medicine

NPI 1114677986

Doctor of Medicine (M.D.)

Dr. William Hinegardner , DO

Internal Medicine

NPI 1124719323

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2024

Nurse Practitioner (License #APRN.CNP.09901 in OH)

✅

NPI Profile Active December 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 23, 2014

Registered at 730 W MARKET ST, LIMA, OH 458014602 (Tel: 4192264310)

📍

Updated Business Mailing Address December 23, 2014

Registered at PO BOX 636930, CINCINNATI, OH 452630001 (Tel: 5139815015)

👤

Provider Name / Credentials Updated December 23, 2014

Recorded as HEATHER RETHMAN, CNP-ACNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2014

Nurse Practitioner (License #COA.09901-NP in OH)

🟢

Initial NPI Registration & Enumeration June 19, 2008

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: 1235390618

Entity Type:

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

Enumeration Date: June 19, 2008

Last Update: October 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636930

Cincinnati, OH 452630001

Phone: 5139815015

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.