Active NPI 1952628778 Individual Practitioner Female Practitioner

Dr. Heather Hartman Adkins , MD

Surgery • Middletown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heather Adkins, MD is a certified Surgery practicing in Middletown, OH. With approximately 16 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2010, Dr. Adkins delivers high-quality medical care to the local community at 4040 ROOSEVELT BLVD.

Dr. Adkins is affiliated with Premier Health Specialists Inc 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, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4040 Roosevelt Blvd

Middletown, OH 450446619

Telephone 5134240941

Fax 5134249758

Associated Practice Facility / Clinic

🏢 Roosevelt Surgical Associates,inc. Facility NPI 1528007929

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 Middletown, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.8 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Middletown, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Adkins (16 Years) 16 Yrs

Middletown Specialty Average (18.8 Years) 18.8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	25	$120.00	$68.61
99213 Established patient office or other outpatient visit, typically 15 minutes	41	30	$134.00	$83.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$230.00	$115.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$250.00	$157.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.00	$104.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$83.00	$50.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$190.00	$120.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$300.00	$163.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$75.00	$46.92

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	61	30	$120.00	$77.61
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$134.00	$85.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$190.00	$121.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$247.00	$161.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$300.00	$167.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$175.00	$108.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$230.00	$127.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$82.00	$50.88
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$46.00	$17.71
76937 Ultrasonic guidance for blood vessel access	12	12	$87.00	$14.07
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2090.00	$310.23

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	67	31	$120.00	$62.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$300.00	$192.25
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$135.37	$85.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$175.00	$108.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$230.00	$122.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	14	$153.00	$90.17
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$115.00	$68.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$247.00	$162.60
38792 Injection of radioactive material for x-ray identification of lymph node	16	16	$100.00	$15.72
38900 Lymph node imaging during surgery	16	16	$351.00	$132.44
19301 Partial removal of breast	13	13	$1540.00	$567.08
47562 Removal of gallbladder using an endoscope	13	13	$2452.00	$613.87

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	59	30	$120.00	$70.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	45	$230.00	$131.99
99213 Established patient office or other outpatient visit, typically 15 minutes	37	25	$110.00	$87.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$75.00	$37.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$175.00	$109.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$240.00	$164.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$300.00	$196.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$160.00	$126.50
38792 Injection of radioactive material for x-ray identification of lymph node	14	13	$100.00	$16.72
76937 Ultrasonic guidance for blood vessel access	13	12	$87.00	$12.72
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	12	$1282.00	$212.31
38900 Lymph node imaging during surgery	13	12	$351.00	$140.34
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$115.00	$70.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	71	29	$74.99	$39.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	44	$240.00	$199.57
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$83.00	$70.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$125.00	$102.72
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$98.64	$73.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$143.86	$96.70
47562 Removal of gallbladder using an endoscope	11	11	$1100.00	$676.91

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	50	$95.00	$71.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	59	$240.00	$197.83
99213 Established patient office or other outpatient visit, typically 15 minutes	43	40	$80.00	$71.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	18	$75.00	$38.56
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$85.00	$73.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	15	$60.00	$41.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$160.00	$134.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$135.00	$99.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$125.00	$104.42
76937 Ultrasonic guidance for blood vessel access	14	13	$20.00	$14.30
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$500.00	$18.47
47562 Removal of gallbladder using an endoscope	12	12	$1100.00	$659.37

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	85	38	$95.00	$66.44
99202 New patient office or other outpatient visit, typically 20 minutes	41	40	$85.00	$69.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$160.73	$130.02
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$80.00	$64.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$242.00	$187.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$135.00	$97.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$500.00	$17.88
76937 Ultrasonic guidance for blood vessel access	21	19	$20.00	$13.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$125.00	$97.52
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1276.47	$318.25
47562 Removal of gallbladder using an endoscope	14	14	$1100.00	$546.17

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	41	41	$120.37	$99.88
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$77.22	$67.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	19	$45.63	$38.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$143.50	$133.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	15	$117.00	$101.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$242.17	$197.76
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$82.89	$71.61
47562 Removal of gallbladder using an endoscope	15	15	$1662.80	$617.23

Medical Specialties & State Licenses

CMS Verified: 2022-02-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35126169

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

0128565 (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092939

Phone: 9374394381

Premier Health Specialists Inc

30 E Apple St, Dayton, OH 454092939

Premier Health Specialists Inc

1 Medical Ctr Dr, Middletown, OH 450052584

Phone: 5139742111

Premier Health Specialists Inc

1 Medical Ctr Dr, Middletown, OH 450052584

Phone: 5139745197

Premier Health Specialists Inc

450 N Hyatt St, Tipp City, OH 453711433

Phone: 9378324773

Premier Health Specialists Inc

4040 Roosevelt Blvd, Middletown, OH 450446619

Phone: 9378329310

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Daniel Butler , MD

Surgery

NPI 1275523409

Doctor of Medicine (M.D.)

Dr. Gary Cobb , MD

Surgery

NPI 1497745608

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address February 23, 2022

Registered at 3170 KETTERING BLVD BLDG B, MORAINE, OH 454391924 (Tel: 9379913188)

✅

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2016

Registered at 4040 ROOSEVELT BLVD, MIDDLETOWN, OH 450446619 (Tel: 5134240941)

📍

Updated Business Mailing Address July 15, 2016

Registered at 4040 ROOSEVELT BLVD, MIDDLETOWN, OH 450446619 (Tel: 5134240941)

👤

Provider Name / Credentials Updated July 15, 2016

Recorded as HEATHER ADKINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Surgery (License #35126169 in OH)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1952628778

Entity Type:

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

Enumeration Date: May 04, 2010

Last Update: February 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3170 Kettering Blvd Bldg B

Moraine, OH 454391924

Phone: 9379913188

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.