Active NPI 1730136839 Individual Practitioner Male Practitioner

Dr. Todd J Hixenbaugh , MD

Surgery • Lima, OH

Professional Overview & Biography Verified Profile Summary

Dr. Todd Hixenbaugh, MD is a registered healthcare professional specializing in Surgery in Lima, OH. Practice services are available at 658 W MARKET ST STE 201 under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

658 W Market St Ste 201

Lima, OH 458015609

Telephone 4193036528

Associated Practice Facility / Clinic

🏢 Todd J Hixenbaugh Md Llc Facility NPI 1063115913

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lima, OH

Active Practitioner

Practitioner Clinical Experience

Active

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

40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	249	116	$117.00	$75.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	112	$192.00	$124.44
99213 Established patient office or other outpatient visit, typically 15 minutes	69	51	$131.00	$85.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	28	$185.00	$121.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$320.00	$209.79
99238 Hospital discharge day management, 30 minutes or less	19	19	$118.00	$76.95
99284 Emergency department visit with moderate level of medical decision making	19	19	$180.00	$115.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$242.00	$159.30
47562 Removal of gallbladder using an endoscope	16	16	$983.00	$615.86
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$490.00	$157.13
43246 Insertion of stomach tube using a flexible endoscope	12	12	$293.00	$181.92

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	344	118	$122.58	$76.84
99213 Established patient office or other outpatient visit, typically 15 minutes	117	73	$133.82	$86.68
99221 Initial hospital inpatient care per day, typically 30 minutes	61	60	$123.33	$80.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	49	$192.00	$127.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	33	$187.45	$122.90
99238 Hospital discharge day management, 30 minutes or less	35	35	$126.00	$77.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$254.30	$155.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$320.00	$213.48
47562 Removal of gallbladder using an endoscope	14	14	$1006.29	$582.40
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$503.67	$177.85

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	222	99	$104.00	$69.94
99221 Initial hospital inpatient care per day, typically 30 minutes	56	53	$146.00	$98.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	54	$198.00	$130.92
99213 Established patient office or other outpatient visit, typically 15 minutes	53	49	$134.00	$87.76
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$112.00	$70.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$84.00	$54.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$191.00	$124.67
99238 Hospital discharge day management, 30 minutes or less	13	12	$111.00	$69.99

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	291	108	$104.00	$69.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	47	$198.00	$133.49
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$132.94	$89.00
99221 Initial hospital inpatient care per day, typically 30 minutes	43	39	$146.00	$97.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$83.14	$54.37
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$112.00	$70.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$163.91	$109.66
99239 Hospital discharge day management, more than 30 minutes	17	16	$154.00	$103.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$191.00	$126.50
45380 Biopsy of large bowel using an endoscope	15	15	$625.00	$150.62
47562 Removal of gallbladder using an endoscope	14	14	$1079.36	$648.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$291.00	$196.35

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	201	99	$103.00	$71.72
99221 Initial hospital inpatient care per day, typically 30 minutes	53	48	$146.00	$101.33
99213 Established patient office or other outpatient visit, typically 15 minutes	50	44	$109.00	$72.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	36	$198.00	$137.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$161.00	$104.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	24	$66.00	$43.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$159.00	$105.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$291.00	$200.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$33.00	$22.01
99239 Hospital discharge day management, more than 30 minutes	12	11	$154.00	$105.86
43246 Insertion of stomach tube using a flexible endoscope	12	12	$413.00	$195.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$30.00	$18.70
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1400.00	$342.14

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	210	111	$103.00	$71.08
99213 Established patient office or other outpatient visit, typically 15 minutes	68	60	$109.00	$71.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$161.00	$102.86
99221 Initial hospital inpatient care per day, typically 30 minutes	47	43	$146.00	$99.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	42	$198.00	$131.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$66.00	$42.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$291.00	$197.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$159.00	$104.51
99239 Hospital discharge day management, more than 30 minutes	20	20	$154.00	$104.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$60.00	$38.52
45380 Biopsy of large bowel using an endoscope	15	15	$625.00	$176.84
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$112.00	$72.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$450.00	$101.74
49652 Repair of hernia using an endoscope	11	11	$1359.00	$696.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$360.00	$160.81

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	191	96	$103.00	$71.32
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	51	$149.00	$102.16
99213 Established patient office or other outpatient visit, typically 15 minutes	62	56	$109.00	$69.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$161.00	$103.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	54	$159.00	$99.83
99221 Initial hospital inpatient care per day, typically 30 minutes	53	50	$146.00	$99.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	40	$198.00	$134.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	36	$291.00	$199.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	32	$66.00	$41.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$246.00	$158.88
99239 Hospital discharge day management, more than 30 minutes	17	16	$154.00	$105.03
47562 Removal of gallbladder using an endoscope	16	16	$1071.00	$636.38
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$112.00	$68.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$31.00	$20.43
49650 Repair of groin hernia using an endoscope	12	12	$991.67	$514.54
45380 Biopsy of large bowel using an endoscope	11	11	$625.00	$169.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	179	86	$149.00	$101.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	59	$103.00	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	69	$159.00	$100.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	43	$66.00	$40.77
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$109.00	$69.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$161.00	$103.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	48	$198.00	$133.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$291.00	$193.51
99221 Initial hospital inpatient care per day, typically 30 minutes	44	41	$146.00	$97.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$246.00	$157.92
47562 Removal of gallbladder using an endoscope	28	28	$1071.00	$642.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	22	$30.00	$19.04
45380 Biopsy of large bowel using an endoscope	21	21	$625.00	$135.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	18	$450.00	$115.38
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1163.00	$681.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$850.00	$234.06
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	$139.09

Medical Specialties & State Licenses

CMS Verified: 2023-03-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35050679H

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

0565795 (OH)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 14, 2023

Registered at 658 W MARKET ST STE 201, LIMA, OH 458015609 (Tel: 4193036528)

📍

Updated Business Mailing Address March 14, 2023

Registered at 2790 SHAGBARK DR, LIMA, OH 458061636

✅

NPI Profile Active December 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 29, 2014

Registered at 830 W HIGH ST, SUITE 360, LIMA, OH 458013971 (Tel: 4192277117)

📍

Updated Business Mailing Address December 29, 2014

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

👤

Provider Name / Credentials Updated December 29, 2014

Recorded as TODD HIXENBAUGH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2014

Surgery (License #35050679H in OH)

🟢

Initial NPI Registration & Enumeration May 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730136839

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: March 14, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2790 Shagbark Dr

Lima, OH 458061636

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.