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Active NPI 1275743502 Individual Practitioner Male Practitioner

Dr. Philip Scott Gafford , MD

Surgery • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Gafford, MD is a certified Surgery practicing in Lima, OH. With approximately 21 years of clinical experience since graduating from Meharry Medical College School Of Medicine in 2005, Dr. Gafford delivers high-quality medical care to the local community at 1003 BELLEFONTAINE AVE STE 125.

Dr. Gafford is affiliated with Acute Care Surgical Affiliates Of Texas Pa 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, new patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1003 Bellefontaine Ave Ste 125

Lima, OH 45804

Telephone 4199988207
Fax 4199988216
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Meharry Medical College School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lima, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -0.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Lima, OH (1313 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gafford (21 Years) 21 Yrs
Lima Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
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
39 22 $145.10 $70.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
29 27 $207.86 $101.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $343.64 $165.30
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
16 16 $1044.59 $212.17
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $187.34 $85.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $228.56 $110.31

Medical Specialties & State Licenses

CMS Verified: 2021-12-13
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX P6818

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35.131215

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.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License OH 35.131215

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License OH 35.131215

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0219492 (OH)
Medicaid State Provider ID
327562003 (TX)
Commercial Insurance / Payer ID Bcbs
000001082699 (OH)

Hospital & Practice Group Affiliations

Acute Care Surgical Affiliates Of Texas Pa

600 Elizabeth St, Corpus Christi, TX 784042235

Phone: 3618813000

Practice Associates & Co-Workers

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

15 Associated Practitioners
Natalie Coon , PA-C

Physician Assistant

NPI 1023474483

Physician Assistant (Certified)

NPI 1053628172

Doctor of Medicine (M.D.)

Jonathan Eaton , PA, AT

Physician Assistant - Surgical

NPI 1093270548

Physician Assistant, AT

Shannon Wesley

Colon & Rectal Surgery

NPI 1225320526
Teresa Walters

Nurse Practitioner - Family

NPI 1255090965
Andrew Wayman , PA-C

Physician Assistant

NPI 1285332684

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address March 07, 2019

Registered at 1001 BELLEFONTAINE AVE, LIMA, OH 458042800 (Tel: 4199984575)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2019

Surgery (License #35.131215 in OH)

📍
Updated Practice Location August 08, 2018

Registered at 1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804 (Tel: 4199988207)

📍
Updated Business Mailing Address August 08, 2018

Registered at 951 COMMERCE PKWY STE 101, LIMA, OH 458044040 (Tel: 4199984575)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2018

Surgery (License #35.131215 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2018

Surgery (License #P6818 in TX)

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 2405 W MISSOURI AVE, MIDLAND, TX 797016800 (Tel: 4326971061)

📍
Updated Business Mailing Address December 15, 2016

Registered at 2405 W MISSOURI AVE, MIDLAND, TX 797016800 (Tel: 4326971061)

👤
Provider Name / Credentials Updated December 15, 2016

Recorded as PHILIP GAFFORD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Surgery (License #P6818 in TX)

🟢
Initial NPI Registration & Enumeration May 23, 2007

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: 1275743502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: December 13, 2021
Sole Proprietor: No

Mailing Address

1001 Bellefontaine Ave

Lima, OH 458042800

Phone: 4199984575

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.