Active NPI 1225126824 Individual Practitioner Male Practitioner

Dr. Timothy J. Pritchard , MD

Colon & Rectal Surgery • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Pritchard, MD is a registered healthcare professional specializing in Colon & Rectal Surgery in Mentor, OH. Practice services are available at 9500 MENTOR AVE STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9500 Mentor Ave Ste 200

Mentor, OH 440608702

Telephone 4403540377

Fax 4403549368

Associated Practice Facility / Clinic

🏢 John P. Ferron, M.d. & Timothy J. Pritchard, M.d. Inc Facility NPI 1497939409

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Mentor, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

1 Specialists

Practicing in Mentor, OH (124 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.8% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	25	$81.71	$62.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$101.84	$80.32
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	27	27	$117.00	$5.29
46600 Diagnostic examination of the anus using an endoscope	17	14	$117.00	$39.78
46221 Removal of external hemorrhoids by rubber banding	16	14	$359.00	$178.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$95.00	$82.27
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	37	37	$117.00	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$68.68	$62.51
46600 Diagnostic examination of the anus using an endoscope	26	23	$117.00	$39.81
46221 Removal of external hemorrhoids by rubber banding	22	17	$359.00	$177.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$100.00	$95.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$42.00	$35.73
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$341.00	$180.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$99.30	$83.62
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	39	38	$111.00	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$60.00	$60.53
46221 Removal of external hemorrhoids by rubber banding	26	24	$341.00	$185.73
46600 Diagnostic examination of the anus using an endoscope	21	20	$111.00	$40.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$95.00	$95.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$40.00	$35.89
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$324.00	$180.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$190.00	$136.04
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$80.00	$49.32
45300 Diagnostic examination of rectum and large bowel using an endoscope	12	12	$78.00	$46.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	30	$56.00	$39.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$94.00	$76.06
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$61.04	$51.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	37	$197.00	$138.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	38	38	$111.00	$5.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$197.41	$129.68
46600 Diagnostic examination of the anus using an endoscope	25	23	$111.00	$40.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$104.09	$76.53
46221 Removal of external hemorrhoids by rubber banding	21	15	$341.00	$192.39
45380 Biopsy of large bowel using an endoscope	16	16	$572.50	$146.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$145.00	$111.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	58	58	$111.00	$5.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	30	$56.00	$38.95
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$80.02	$50.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$125.56	$75.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$197.00	$135.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$208.03	$127.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$177.33	$106.92
46600 Diagnostic examination of the anus using an endoscope	23	22	$111.00	$40.74
45380 Biopsy of large bowel using an endoscope	17	17	$247.00	$138.36
45300 Diagnostic examination of rectum and large bowel using an endoscope	16	13	$78.00	$44.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$136.07	$73.28
46221 Removal of external hemorrhoids by rubber banding	15	12	$341.00	$183.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$390.00	$180.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	43	$56.00	$38.47
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	48	48	$111.00	$5.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	41	$197.00	$134.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$211.13	$124.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$176.00	$108.97
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$81.00	$50.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$124.00	$77.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$123.00	$75.32
46221 Removal of external hemorrhoids by rubber banding	20	16	$341.00	$186.69
46600 Diagnostic examination of the anus using an endoscope	16	16	$111.00	$40.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$324.00	$186.48
45380 Biopsy of large bowel using an endoscope	13	13	$247.00	$138.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$289.00	$198.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$102.00	$71.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	36	$56.00	$37.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$126.77	$75.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$197.00	$131.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$211.44	$126.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$179.13	$108.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$127.85	$74.21
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$85.17	$48.67
46600 Diagnostic examination of the anus using an endoscope	21	20	$140.67	$40.14
46221 Removal of external hemorrhoids by rubber banding	20	16	$341.00	$185.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$289.00	$197.76
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	19	19	$111.00	$5.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$324.00	$185.68
45380 Biopsy of large bowel using an endoscope	11	11	$247.00	$168.92

Medical Specialties & State Licenses

CMS Verified: 2021-03-03

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License OH 35-04-7732

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0766505 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. David Reznick , MD

Surgery

NPI 1821380023

Doctor of Medicine (M.D.)

Dr. John Ferron , MD

Surgery

NPI 1952490278

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 Business Mailing Address March 03, 2021

Registered at 7590 AUBURN ROAD, SUITE 014, ATTN: MED STAFF, CONCORD TWP., OH 440779176 (Tel: 4403541899)

📍

Updated Practice Location November 19, 2018

Registered at 9500 MENTOR AVE STE 200, MENTOR, OH 440608702 (Tel: 4403540377)

✅

NPI Profile Active July 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2016

Registered at 9500 MENTOR AVE STE 300, MENTOR, OH 440608714 (Tel: 4403540377)

📍

Updated Business Mailing Address July 29, 2016

Registered at PO BOX 781389, DETROIT, MI 482781389 (Tel: 4403540377)

👤

Provider Name / Credentials Updated July 29, 2016

Recorded as TIMOTHY PRITCHARD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2016

Colon & Rectal Surgery (License #35-04-7732 in OH)

🟢

Initial NPI Registration & Enumeration October 10, 2006

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: 1225126824

Entity Type:

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

Enumeration Date: October 10, 2006

Last Update: March 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7590 Auburn Road, Suite 014, Attn: Med Staff

Concord Twp., OH 440779176

Phone: 4403541899

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.