Active NPI 1821007949 Individual Practitioner Male Practitioner

Dr. Kenneth Lance Bryant , DO

Surgery • Saint Marys, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bryant, DO is a certified Surgery practicing in Saint Marys, OH. With approximately 33 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 1993, Dr. Bryant delivers high-quality medical care to the local community at 1140 S KNOXVILLE AVE STE C.

Dr. Bryant is affiliated with Jtdm Family Practice Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1140 S Knoxville Ave Ste C

Saint Marys, OH 458852609

Telephone 4193949595

Fax 4193949532

Associated Practice Facility / Clinic

🏢 West Ohio X-Ray Facility NPI 1609845064

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Marys, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Saint Marys, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bryant (33 Years) 33 Yrs

Saint Marys Specialty Average (33.0 Years) 33.0 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	43	$77.00	$33.06
99213 Established patient office or other outpatient visit, typically 15 minutes	132	41	$128.00	$62.24
11042 Removal of skin and tissue, 20.0 sq cm or less	118	29	$223.00	$56.24
99213 Established patient office or other outpatient visit, typically 15 minutes	90	77	$128.00	$85.66
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	82	81	$1370.00	$233.41
45380 Biopsy of large bowel using an endoscope	76	76	$1214.00	$133.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	65	$186.00	$120.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	68	64	$883.00	$71.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	63	$200.00	$123.98
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	61	61	$1016.00	$170.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	52	$762.00	$83.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	52	51	$1016.00	$169.95
45378 Diagnostic exam of large bowel using a flexible endoscope	46	46	$1016.00	$163.13
43249 Balloon dilation of esophagus using an endoscope	41	41	$1333.00	$109.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$77.00	$52.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$283.00	$157.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$184.00	$105.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$250.00	$171.16
91010 Study of esophagus to assess movement	12	12	$371.00	$60.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$184.00	$78.00
49650 Repair of groin hernia using an endoscope	11	11	$818.18	$425.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	171	41	$223.00	$57.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	39	$77.00	$34.92
99213 Established patient office or other outpatient visit, typically 15 minutes	101	44	$128.00	$64.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	85	85	$1370.00	$247.28
45378 Diagnostic exam of large bowel using a flexible endoscope	72	70	$1016.00	$167.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	54	$111.00	$76.96
45380 Biopsy of large bowel using an endoscope	60	60	$1214.00	$136.79
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	55	$762.00	$78.69
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	56	56	$1016.00	$176.70
99213 Established patient office or other outpatient visit, typically 15 minutes	55	42	$128.00	$87.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	49	$186.00	$123.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	47	$883.00	$72.54
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	43	43	$1016.00	$175.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	26	$62.65	$49.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$283.00	$158.32
43249 Balloon dilation of esophagus using an endoscope	31	31	$1333.00	$109.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	23	$250.00	$168.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$184.00	$108.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$200.00	$128.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$186.00	$95.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$77.00	$54.42
49650 Repair of groin hernia using an endoscope	16	16	$773.44	$429.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$184.00	$81.55

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	151	148	$91.25	$5.47
11042 Removal of skin and tissue, 20.0 sq cm or less	123	33	$223.00	$58.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	47	$77.00	$35.92
99213 Established patient office or other outpatient visit, typically 15 minutes	77	35	$128.00	$65.87
45378 Diagnostic exam of large bowel using a flexible endoscope	73	73	$1016.00	$177.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	48	$186.00	$123.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	57	$111.00	$69.75
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	58	$762.00	$83.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	55	55	$1370.00	$249.56
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$128.00	$87.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	50	50	$1016.00	$183.07
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	42	42	$1016.00	$181.98
43249 Balloon dilation of esophagus using an endoscope	41	40	$1333.00	$120.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$883.00	$98.86
45380 Biopsy of large bowel using an endoscope	39	39	$1214.00	$134.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$283.00	$163.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$184.00	$109.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$62.00	$38.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$250.00	$176.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$186.00	$96.95
91010 Study of esophagus to assess movement	14	14	$371.00	$62.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$77.00	$54.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$184.00	$82.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$283.00	$134.33
91110 Imaging of digestive tract done from the inside of the digestive tract	12	12	$1092.00	$743.65
76937 Ultrasonic guidance for blood vessel access	12	12	$58.00	$13.63
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3026.00	$332.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$290.00	$18.40

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	171	167	$91.25	$5.57
11042 Removal of skin and tissue, 20.0 sq cm or less	120	36	$223.00	$60.25
99213 Established patient office or other outpatient visit, typically 15 minutes	93	73	$126.49	$89.35
99213 Established patient office or other outpatient visit, typically 15 minutes	84	44	$125.08	$67.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$181.61	$126.65
45378 Diagnostic exam of large bowel using a flexible endoscope	73	73	$1016.00	$176.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	39	$76.35	$35.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	60	60	$1370.00	$252.70
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	54	$762.00	$92.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$281.63	$165.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	41	$141.00	$102.14
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	46	45	$91.25	$12.45
45380 Biopsy of large bowel using an endoscope	39	37	$1214.00	$160.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	36	$883.00	$84.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$1016.00	$184.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$186.00	$99.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$1016.00	$186.72
43249 Balloon dilation of esophagus using an endoscope	23	22	$1333.00	$130.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$184.00	$110.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$182.23	$83.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$77.00	$54.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$111.00	$71.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3026.00	$337.85
91110 Imaging of digestive tract done from the inside of the digestive tract	11	11	$1092.00	$824.51

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	236	219	$91.25	$5.72
11042 Removal of skin and tissue, 20.0 sq cm or less	125	40	$223.00	$61.28
99213 Established patient office or other outpatient visit, typically 15 minutes	104	44	$92.92	$51.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	83	$140.03	$106.63
99213 Established patient office or other outpatient visit, typically 15 minutes	81	67	$93.00	$72.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$246.00	$159.62
45378 Diagnostic exam of large bowel using a flexible endoscope	55	55	$1016.00	$187.53
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	52	$762.00	$97.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	51	$1370.00	$258.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	30	$60.96	$25.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	43	$883.00	$70.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	46	$62.00	$44.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	46	46	$1016.00	$190.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	41	$141.00	$104.69
45380 Biopsy of large bowel using an endoscope	45	45	$1214.00	$163.19
43249 Balloon dilation of esophagus using an endoscope	36	35	$1333.00	$122.21
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	31	11	$203.00	$86.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	20	$111.00	$72.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$145.00	$105.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$139.00	$79.02
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	13	$3026.00	$326.17
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1016.00	$189.11
49505 Repair of groin hernia (5 years or older)	11	11	$1335.00	$511.04
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1955.00	$694.52

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	226	216	$91.25	$5.64
11042 Removal of skin and tissue, 20.0 sq cm or less	156	42	$223.00	$60.84
99213 Established patient office or other outpatient visit, typically 15 minutes	113	42	$93.00	$50.59
99213 Established patient office or other outpatient visit, typically 15 minutes	110	77	$93.00	$71.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	43	$62.00	$25.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	78	$139.00	$105.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$246.00	$156.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	59	$62.00	$42.86
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	50	$762.00	$97.48
45378 Diagnostic exam of large bowel using a flexible endoscope	47	47	$1016.00	$185.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$145.00	$105.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	39	39	$1016.00	$189.44
45380 Biopsy of large bowel using an endoscope	39	39	$1214.00	$161.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	37	37	$1370.00	$261.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	31	$111.00	$72.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	21	$62.00	$39.05
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$1016.00	$189.08
43249 Balloon dilation of esophagus using an endoscope	26	26	$1333.00	$134.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	22	$883.00	$83.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$3026.00	$341.38
49505 Repair of groin hernia (5 years or older)	12	12	$1335.00	$526.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	241	55	$168.00	$60.17
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	205	195	$75.00	$5.55
99213 Established patient office or other outpatient visit, typically 15 minutes	163	57	$106.12	$50.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	127	$157.00	$103.71
99183 Management and supervision of oxygen chamber therapy per session	142	13	$310.00	$109.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$243.00	$159.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	54	$59.00	$38.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	105	50	$63.00	$24.73
99213 Established patient office or other outpatient visit, typically 15 minutes	104	87	$106.00	$69.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	87	$154.00	$102.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	62	$63.00	$40.96
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	62	60	$453.00	$97.29
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	44	44	$569.00	$184.13
45378 Diagnostic exam of large bowel using a flexible endoscope	37	35	$569.00	$181.42
45380 Biopsy of large bowel using an endoscope	33	33	$677.00	$169.84
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	31	12	$63.00	$26.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$765.00	$258.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	30	$569.00	$186.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$158.00	$100.60
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	22	$576.00	$97.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$243.00	$126.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$159.48	$75.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$157.00	$76.83
43249 Balloon dilation of esophagus using an endoscope	16	16	$1493.00	$155.13
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1695.00	$338.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	196	18	$310.00	$108.62
11042 Removal of skin and tissue, 20.0 sq cm or less	171	31	$168.00	$59.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	112	$157.00	$102.60
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	121	114	$75.00	$5.53
99213 Established patient office or other outpatient visit, typically 15 minutes	118	94	$106.00	$69.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$243.00	$157.63
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	104	96	$80.77	$12.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	55	$59.00	$38.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	33	$63.00	$24.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	72	$63.00	$41.18
99213 Established patient office or other outpatient visit, typically 15 minutes	71	36	$107.45	$49.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	58	57	$453.00	$110.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$158.00	$100.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	47	$154.00	$101.82
45380 Biopsy of large bowel using an endoscope	46	46	$677.00	$178.79
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$569.00	$183.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$765.00	$252.17
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$569.00	$186.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$569.00	$185.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	24	$576.00	$92.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$161.44	$74.76
43249 Balloon dilation of esophagus using an endoscope	14	14	$1493.00	$144.20
99226 Subsequent observation care, typically 35 minutes per day	13	13	$155.00	$102.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$157.00	$76.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$243.00	$126.64

Medical Specialties & State Licenses

CMS Verified: 2021-04-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 34-005959

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

0989097 (OH)

Commercial Insurance / Payer ID Group Npi - Jtdm Family Practice, Llc

1184652539 (OH)

Commercial Insurance / Payer ID Tax Id

34-1689161 (OH)

Commercial Insurance / Payer ID Medicare

H039441 (OH)

Hospital & Practice Group Affiliations

Jtdm Family Practice Llc

1140 S Knoxville Ave, Saint Marys, OH 458852609

Phone: 4193949595

Secondary Practice Locations

830 W Main St Ste E1a

Coldwater, OH 458281657

Phone: 4193949595

Practice Associates & Co-Workers

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

2 Associated Practitioners

Krista Huber , PA-C

Physician Assistant - Surgical

NPI 1386259893

Physician Assistant (Certified)

Alecksa Engle , APRN-CNP

Nurse Practitioner - Family

NPI 1801570494

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location April 19, 2021

Registered at 1140 S KNOXVILLE AVE STE C, SAINT MARYS, OH 458852609 (Tel: 4193949595)

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Updated Business Mailing Address April 19, 2021

Registered at 200 SAINT CLAIR AVE, SAINT MARYS, OH 458852400 (Tel: 4193001129)

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Provider Name / Credentials Updated April 19, 2021

Recorded as KENNETH BRYANT, DO

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Updated Practice Location January 03, 2019

Registered at 1300 GREENVILLE RD STE B, SAINT MARYS, OH 45885 (Tel: 4193949595)

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Updated Business Mailing Address January 03, 2019

Registered at 1002 S KNOXVILLE AVE, SAINT MARYS, OH 458852607 (Tel: 4193943387)

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NPI Profile Active September 11, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2013

Registered at 1165 S KNOXVILLE AVE, SAINT MARYS, OH 458852622 (Tel: 4193943333)

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Updated Business Mailing Address September 11, 2013

Registered at 1165 S KNOXVILLE AVE, SAINT MARYS, OH 458852622 (Tel: 4193943333)

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Provider Name / Credentials Updated September 11, 2013

Recorded as KENNETH BRYANT, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2013

Surgery (License #34-005959 in OH)

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Initial NPI Registration & Enumeration August 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821007949

Entity Type:

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

Enumeration Date: August 07, 2006

Last Update: April 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Saint Clair Ave

Saint Marys, OH 458852400

Phone: 4193001129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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