Active NPI 1649598004 Individual Practitioner Female Practitioner

Dr. Anne R Edgerton , MD

Surgery • Lima, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anne Edgerton, MD is a certified Surgery practicing in Lima, OH. With approximately 16 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2010, Dr. Edgerton delivers high-quality medical care to the local community at 830 W HIGH ST STE 360.

Dr. Edgerton is affiliated with Mercy Health Physicians Lima Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 W High St Ste 360

Lima, OH 458013985

Telephone 4192277117

Fax 4192272848

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lima, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -5.5 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

36.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edgerton (16 Years) 16 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	87	$198.00	$123.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	55	$104.00	$74.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	29	$60.00	$47.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$248.55	$158.60
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$134.84	$85.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$192.83	$118.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$166.68	$98.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$30.00	$17.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	58	$198.00	$125.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	41	$104.00	$75.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	28	$60.00	$48.14
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$134.00	$85.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$247.00	$159.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$165.00	$106.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$291.00	$167.58

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	88	50	$104.00	$69.93
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$146.00	$99.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$291.00	$194.41
99291 Critical care, first 30-74 minutes	20	13	$320.00	$218.02
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$134.00	$88.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$165.00	$109.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$84.00	$54.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$326.00	$217.50

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	130	65	$103.99	$70.48
99291 Critical care, first 30-74 minutes	65	47	$320.00	$217.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$291.00	$196.35
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$146.00	$99.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	17	$60.00	$37.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$164.00	$109.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$198.00	$133.49

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	125	69	$103.00	$72.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$291.00	$203.56
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$146.00	$102.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$60.00	$39.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$161.00	$106.32

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	69	46	$113.43	$71.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$291.00	$200.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$301.13	$134.39
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$146.00	$100.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	17	$78.00	$38.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$284.44	$133.70
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$141.00	$70.07
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$200.00	$99.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	39	$78.00	$38.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	49	$270.00	$133.62
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$198.00	$99.15
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$141.00	$69.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$208.00	$102.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$209.00	$103.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$142.00	$70.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$320.00	$157.76

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35125280

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

0140414 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Lima Specialty Care Llc

830 W High St, Lima, OH 458013985

Phone: 4192277117

Practice Associates & Co-Workers

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

16 Associated Practitioners

Cameron Pappa , PA

Physician Assistant - Surgical

NPI 1033760244

Physician Assistant

Brooke Lange , PA-C

Physician Assistant - Medical

NPI 1093103038

Physician Assistant (Certified)

Emma Ruga , PA

Physician Assistant

NPI 1144011826

Physician Assistant

Taran Mcmillan

Physician Assistant

NPI 1326926288

Dr. Jeffrey Wisser , DO

Surgery

NPI 1336147255

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Bowersock , MD

Surgery

NPI 1396961983

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 12, 2019

Registered at 830 W HIGH ST STE 360, LIMA, OH 458013985 (Tel: 4192277117)

📍

Updated Business Mailing Address August 12, 2019

Registered at 830 W HIGH ST STE 360, LIMA, OH 458013985

✅

NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2016

Registered at 4235 SECOR RD, TOLEDO, OH 436234231 (Tel: 4194795500)

📍

Updated Business Mailing Address May 09, 2016

Registered at 4235 SECOR RD, TOLEDO, OH 436234231 (Tel: 4194733561)

👤

Provider Name / Credentials Updated May 09, 2016

Recorded as ANNE EDGERTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Surgery (License #35125280 in OH)

🟢

Initial NPI Registration & Enumeration May 11, 2010

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: 1649598004

Entity Type:

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

Enumeration Date: May 11, 2010

Last Update: August 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

830 W High St Ste 360

Lima, OH 458013985

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.