Active NPI 1679931968 Individual Practitioner Female Practitioner

Krystal Umfleet , CNP

Nurse Practitioner • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Krystal Umfleet, CNP is a certified Nurse Practitioner practicing in Lima, OH. With approximately 11 years of clinical experience since completing medical education in 2015, Krystal Umfleet delivers high-quality medical care to the local community at 2793 SHAWEE RD.

Krystal Umfleet is affiliated with Gcga Physicians Inc. 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

2793 Shawee Rd

Lima, OH 45806

Telephone 4192278209

Fax 4192226007

Associated Practice Facility / Clinic

🏢 Gastro-Intestinal Associates, Inc Facility NPI 1275571929

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lima, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +2.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 9.8 Yrs

Regional Practice Density

42 Specialists

Practicing in Lima, OH (4294 Statewide)

Telehealth Adoption Rate

11.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Umfleet (11 Years) 11 Yrs

Lima Specialty Average (8.9 Years) 8.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	470	285	$333.32	$101.81
99213 Established patient office or other outpatient visit, typically 15 minutes	119	111	$236.15	$72.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$513.29	$134.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	40	$336.77	$94.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	35	$235.38	$63.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$440.83	$105.33
76981 Elastography ultrasound of organ tissue	11	11	$340.00	$80.78

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	534	321	$210.00	$103.41
99213 Established patient office or other outpatient visit, typically 15 minutes	125	113	$136.00	$72.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$350.00	$135.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	19	$195.00	$65.05
76981 Elastography ultrasound of organ tissue	15	15	$340.00	$82.60
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$274.00	$68.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	388	239	$136.00	$74.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	128	$210.00	$103.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$350.00	$136.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	42	$195.00	$57.22
91200 Measurement of liver stiffness	19	19	$97.00	$23.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$207.00	$92.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$281.00	$85.61

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	340	214	$201.98	$106.13
99213 Established patient office or other outpatient visit, typically 15 minutes	123	105	$135.63	$75.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$348.34	$139.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	22	$281.00	$86.06
83036 Hemoglobin A1C level	25	23	$32.00	$9.32
91200 Measurement of liver stiffness	21	21	$97.00	$26.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$185.90	$59.91
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$35.00	$12.19
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$274.00	$84.56

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	319	143	$159.00	$89.71
99213 Established patient office or other outpatient visit, typically 15 minutes	88	53	$108.26	$60.43
83036 Hemoglobin A1C level	69	44	$32.00	$9.67
93000 Routine ekg using at least 12 leads including interpretation and report	51	41	$35.00	$13.97
80305 Testing for presence of drug, read by direct observation	42	14	$18.00	$12.52

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	397	179	$159.00	$87.77
83036 Hemoglobin A1C level	103	65	$32.00	$10.42
99213 Established patient office or other outpatient visit, typically 15 minutes	92	62	$109.00	$59.97
93000 Routine ekg using at least 12 leads including interpretation and report	74	64	$35.00	$13.65
82962 Blood glucose (sugar) test performed by hand-held instrument	23	15	$18.00	$3.10
G0008 Administration of influenza virus vaccine	17	17	$47.00	$15.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$246.00	$134.71
90653 Vaccine for influenza for injection into muscle	12	12	$100.00	$58.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$213.00	$119.48
81003 Automated urinalysis test	12	12	$7.00	$2.44

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	126	72	$103.00	$60.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	41	16	$61.00	$34.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$159.00	$87.95
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$109.00	$59.68

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	197	120	$103.00	$59.86

Medical Specialties & State Licenses

CMS Verified: 2024-04-18

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.18704

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Gcga Physicians Inc.

2925 Vernon Pl, Cincinnati, OH 452192425

Gcga Physicians Inc.

140 Fox Rd, Van Wert, OH 458912492

Phone: 4192278209

Gcga Physicians Inc.

2793 Shawnee Rd, Lima, OH 458061444

Phone: 4192278209

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Tariq Sheikh , MD

Internal Medicine - Gastroenterology

NPI 1043282239

Doctor of Medicine (M.D.)

Laurie Knippen , CNP

Nurse Practitioner

NPI 1154360030

Certified Nurse Practitioner

Dennis Bullen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1174579924

Certified Registered Nurse Anesthetist

Dr. David Long , DO

Internal Medicine - Gastroenterology

NPI 1205398997

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Leifer , MD

Internal Medicine - Gastroenterology

NPI 1225009699

Doctor of Medicine (M.D.)

Dr. Sheena Patel , MD

Internal Medicine - Gastroenterology

NPI 1235496142

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 16, 2021

Registered at 2793 SHAWEE RD, LIMA, OH 45806 (Tel: 4192278209)

📍

Updated Business Mailing Address September 16, 2021

Registered at 2793 SHAWNEE RD, LIMA, OH 458061444

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Nurse Practitioner (License #APRN.CNP.18704 in OH)

✅

NPI Profile Active March 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2016

Registered at 750 W HIGH ST, STE 150, LIMA, OH 458012969 (Tel: 4192271359)

📍

Updated Business Mailing Address March 02, 2016

Registered at PO BOX 636930, CINCINNATI, OH 452636930 (Tel: 5139815123)

👤

Provider Name / Credentials Updated March 02, 2016

Recorded as KRYSTAL UMFLEET, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2016

Nurse Practitioner (License #COA.18704-NP in OH)

🟢

Initial NPI Registration & Enumeration February 02, 2016

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: 1679931968

Entity Type:

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

Enumeration Date: February 02, 2016

Last Update: April 18, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2793 Shawnee Rd

Lima, OH 458061444

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.