Active NPI 1447469697 Individual Practitioner Male Practitioner

Dr. Paul Christopher Laffay , DO

Surgery • Sandusky, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Laffay, DO is a certified Surgery practicing in Sandusky, OH. With approximately 23 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 2003, Dr. Laffay delivers high-quality medical care to the local community at 703 TYLER ST STE 150.

Dr. Laffay maintains professional affiliations with Northern Ohio Medical Specialists, Llc, North Coast Professional Company, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof 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

703 Tyler St Ste 150

Sandusky, OH 448703392

Telephone 4196258436

Associated Practice Facility / Clinic

🏢 Northern Ohio Medical Specialists,llc Facility NPI 1407365349

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sandusky, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -4.3 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Sandusky, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Laffay (23 Years) 23 Yrs

Sandusky Specialty Average (27.3 Years) 27.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$310.00	$162.93
99213 Established patient office or other outpatient visit, typically 15 minutes	59	48	$160.00	$88.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	48	$240.00	$120.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	19	$250.00	$116.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$370.00	$169.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$205.00	$107.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	19	$1500.00	$239.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	12	$120.00	$54.77
49505 Repair of groin hernia (5 years or older)	15	15	$2000.00	$519.29
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2900.00	$686.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$751.00	$180.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$310.00	$160.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	63	$240.00	$120.49
99213 Established patient office or other outpatient visit, typically 15 minutes	67	60	$160.00	$85.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$370.00	$170.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$205.00	$108.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$250.00	$117.03
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1400.00	$179.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$330.00	$173.69
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2900.00	$715.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1500.00	$234.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$250.00	$119.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$310.00	$163.53
99213 Established patient office or other outpatient visit, typically 15 minutes	81	62	$160.00	$88.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	61	$240.00	$123.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	61	28	$190.00	$100.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$370.00	$194.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$205.00	$109.79
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	22	22	$2900.00	$734.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1500.00	$252.32
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1400.00	$183.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$330.00	$176.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$250.00	$133.71
49505 Repair of groin hernia (5 years or older)	11	11	$2000.00	$534.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$310.00	$165.21
99213 Established patient office or other outpatient visit, typically 15 minutes	103	81	$158.83	$89.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	58	$240.00	$128.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	34	$190.00	$102.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$370.00	$198.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$250.00	$135.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$204.52	$110.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$2700.00	$338.98
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	19	19	$455.00	$18.85
76937 Ultrasonic guidance for blood vessel access	18	18	$175.00	$13.96
49505 Repair of groin hernia (5 years or older)	16	16	$2000.00	$536.22
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2900.00	$738.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	73	$140.00	$72.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$310.00	$155.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	52	$200.00	$106.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$370.00	$202.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	22	$188.86	$104.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$200.00	$106.24
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	16	$2700.00	$339.33
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	16	$438.53	$19.02
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2900.00	$745.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$400.00	$205.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	11	$1500.00	$243.83
49505 Repair of groin hernia (5 years or older)	12	12	$2000.00	$539.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	96	$139.36	$71.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	102	$199.60	$105.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	76	$370.00	$200.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	32	$180.00	$103.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	26	$125.00	$72.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$310.00	$159.11
49505 Repair of groin hernia (5 years or older)	15	15	$2133.33	$544.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$200.00	$105.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2700.00	$331.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$365.00	$23.85
47562 Removal of gallbladder using an endoscope	13	13	$2600.00	$668.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1500.00	$261.42

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	180	143	$195.00	$99.66
99213 Established patient office or other outpatient visit, typically 15 minutes	129	95	$130.00	$68.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	68	$370.00	$188.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	24	$125.00	$68.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	15	$180.00	$99.08
49505 Repair of groin hernia (5 years or older)	13	13	$2153.85	$521.77
47562 Removal of gallbladder using an endoscope	12	12	$2600.00	$637.20
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1500.00	$250.67

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	203	154	$173.50	$98.17
99213 Established patient office or other outpatient visit, typically 15 minutes	102	78	$109.41	$65.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	37	$115.88	$67.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$336.48	$187.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$215.23	$148.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$155.19	$97.32
47562 Removal of gallbladder using an endoscope	18	18	$3088.89	$621.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$2700.00	$318.61
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$228.00	$25.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$821.00	$110.99
49505 Repair of groin hernia (5 years or older)	14	14	$2000.00	$490.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1476.92	$247.15
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$3093.33	$645.63

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 5101015719

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.

Hospital & Practice Group Affiliations

North Coast Professional Company, Llc

1111 Hayes Ave, Sandusky, OH 448703323

Phone: 4195577400

Northern Ohio Medical Specialists, Llc

703 Tyler St, Sandusky, OH 448703392

Phone: 4196258722

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 25, 2018

Registered at PO BOX 378, SANDUSKY, OH 448710378 (Tel: 4196266161)

✅

NPI Profile Active October 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2009

Registered at 703 TYLER ST STE 150, SANDUSKY, OH 448703392 (Tel: 4196258436)

📍

Updated Business Mailing Address October 20, 2009

Registered at 703 TYLER ST STE 150, SANDUSKY, OH 448703392 (Tel: 2487989331)

👤

Provider Name / Credentials Updated October 20, 2009

Recorded as PAUL LAFFAY, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2009

Surgery (License #5101015719 in MI)

🟢

Initial NPI Registration & Enumeration May 22, 2007

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: 1447469697

Entity Type:

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

Enumeration Date: May 22, 2007

Last Update: September 25, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 378

Sandusky, OH 448710378

Phone: 4196266161

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

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