Active NPI 1174828487 Individual Practitioner Male Practitioner

Brian Paul Showalter , PA-C

Physician Assistant - Surgical • Marietta, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Showalter, PA-C is a certified Physician Assistant - Surgical practicing in Marietta, OH. With approximately 16 years of clinical experience since completing medical education in 2010, Brian Showalter delivers high-quality medical care to the local community at 400 MATTHEW ST STE 101.

Brian Showalter is affiliated with Marietta Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion, fusion of additional segment of spine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Matthew St Ste 101

Marietta, OH 457501656

Telephone 7405684150

Fax 7405684151

Associated Practice Facility / Clinic

🏢 Marietta Health Care Physicians, Inc. Facility NPI 1912965732

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Marietta, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs Matches City Avg

City Avg: 16.0 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Marietta, OH (403 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Showalter (16 Years) 16 Yrs

Marietta Specialty Average (16.0 Years) 16.0 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	226	140	$195.94	$77.00
99213 Established patient office or other outpatient visit, typically 15 minutes	151	113	$133.10	$52.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	80	38	$106.50	$32.60
22614 Fusion of additional segment of spine	76	22	$161.09	$50.51
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	46	26	$78.26	$28.60
22633 Fusion of spine in lower back with partial removal of spine bone and disc	33	33	$755.42	$193.18
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	30	30	$104.65	$32.48
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	30	17	$204.27	$62.43
22842 Placement of stabilizing device to back, 3-6 spine bone segments	29	28	$314.85	$95.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$272.08	$104.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	12	$87.03	$27.16
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$446.93	$80.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$268.26	$106.64
22848 Insertion of instrumentation to pelvic bones	13	13	$148.66	$46.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$144.44	$58.90
27280 Fusion of sacroiliac joint obtaining bone graft open procedure	12	12	$2211.14	$263.49

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	322	193	$195.30	$79.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	54	27	$106.50	$34.36
22614 Fusion of additional segment of spine	42	15	$161.09	$52.08
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	36	18	$78.26	$30.46
63048 Partial removal of spine bone with release of spinal cord and/or nerves	31	14	$87.03	$28.00
22842 Placement of stabilizing device to back, 3-6 spine bone segments	26	26	$314.85	$101.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$272.08	$106.94
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	23	14	$204.27	$64.53
22633 Fusion of spine in lower back with partial removal of spine bone and disc	23	23	$755.42	$219.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	18	$144.44	$64.96
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	20	20	$104.65	$34.40
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$139.01	$52.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$268.26	$109.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$401.62	$143.06

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	281	180	$193.24	$81.03
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	52	29	$106.50	$35.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$270.20	$112.86
22614 Fusion of additional segment of spine	42	18	$161.09	$50.42
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	31	18	$78.26	$26.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	21	$401.62	$166.32
22842 Placement of stabilizing device to back, 3-6 spine bone segments	23	23	$314.85	$101.16
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	22	$755.42	$237.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$144.44	$54.97
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	18	18	$104.65	$35.77

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	277	193	$159.17	$83.17
63048 Partial removal of spine bone with release of spinal cord and/or nerves	59	25	$87.03	$29.54
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	47	20	$106.50	$36.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$263.61	$112.38
22614 Fusion of additional segment of spine	35	12	$161.09	$54.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$272.08	$114.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	18	$144.44	$55.23
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	24	16	$204.27	$69.31
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$446.93	$87.12
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	19	$314.85	$106.60
22633 Fusion of spine in lower back with partial removal of spine bone and disc	19	19	$755.42	$217.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$230.00	$87.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$165.00	$61.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	61	61	$391.00	$146.38
99284 Emergency department visit with moderate level of medical decision making	55	53	$266.00	$101.19
99283 Emergency department visit with low level of medical decision making	50	49	$140.00	$53.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	163	147	$136.00	$52.37
99285 Emergency department visit for life threatening or functioning severity	94	93	$300.00	$146.17
99284 Emergency department visit with moderate level of medical decision making	83	82	$200.00	$97.54
99282 Emergency department visit with straightforward medical decision making	35	35	$90.00	$35.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	145	136	$138.07	$52.00
99285 Emergency department visit for life threatening or functioning severity	94	93	$308.09	$146.67
99284 Emergency department visit with moderate level of medical decision making	72	72	$207.50	$98.24
99282 Emergency department visit with straightforward medical decision making	42	42	$90.00	$34.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	31	$33.50	$7.02

Medical Specialties & State Licenses

CMS Verified: 2022-02-02

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 50.003230RX

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WV 01536

Definition to come...

Hospital & Practice Group Affiliations

Marietta Memorial Hospital

400 Matthew St, Marietta, OH 457501656

Marietta Memorial Hospital

401 Matthew St, Marietta, OH 457501635

Phone: 7403741400

Marietta Memorial Hospital

1106 Colegate Dr, Marietta, OH 457501323

Phone: 7405682000

Practice Associates & Co-Workers

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

4 Associated Practitioners

Mallory Hoff-Jones , FNP-C

Nurse Practitioner - Family

NPI 1336677608

Family Nurse Practitioner (Certified)

Dr. Michail Vasilakis , MD

Neurological Surgery

NPI 1356570287

Doctor of Medicine (M.D.)

Dr. Deven Reddy , MD

Neurological Surgery

NPI 1497274930

Doctor of Medicine (M.D.)

Devanshi Dharaiya

Psychiatry & Neurology - Neurology

NPI 1649655028

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Business Mailing Address February 02, 2022

Registered at 416 COLEGATE DR BLDG 3, MARIETTA, OH 457509549 (Tel: 7405684814)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2022

Physician Assistant (License #01536 in WV)

📍

Updated Practice Location January 27, 2021

Registered at 400 MATTHEW ST STE 101, MARIETTA, OH 457501656 (Tel: 7405684150)

📍

Updated Business Mailing Address January 27, 2021

Registered at PO BOX 449, MARIETTA, OH 457500449

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2021

Physician Assistant (License #50.003230RX in OH)

✅

NPI Profile Active January 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2011

Registered at 1212 GARFIELD AVE, SUITE 300, PARKERSBURG, WV 261013247 (Tel: 3048653600)

📍

Updated Business Mailing Address January 18, 2011

Registered at 1212 GARFIELD AVE, SUITE 300, PARKERSBURG, WV 261013247 (Tel: 3048653600)

👤

Provider Name / Credentials Updated January 18, 2011

Recorded as BRIAN SHOWALTER, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2011

Physician Assistant (License #01536 in WV)

🟢

Initial NPI Registration & Enumeration January 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174828487

Entity Type:

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

Enumeration Date: January 18, 2011

Last Update: February 02, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

416 Colegate Dr Bldg 3

Marietta, OH 457509549

Phone: 7405684814

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.