Active NPI 1629160262 Individual Practitioner Male Practitioner

Dr. Tedros Andom , MD

Surgery • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tedros Andom, MD is a certified Surgery practicing in Springfield, OH. With approximately 23 years of clinical experience since graduating from University Of Louisville School Of Medicine in 2003, Dr. Andom delivers high-quality medical care to the local community at 2253 OLYMPIC ST.

Dr. Andom is affiliated with Mercy Health Physicians Springfield Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with moderate level of 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

2253 Olympic St

Springfield, OH 455032736

Telephone 9377174884

Fax 9377176207

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Springfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -3.1 yrs vs City Avg

City Avg: 26.1 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Springfield, OH (1313 Statewide)

Telehealth Adoption Rate

7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andom (23 Years) 23 Yrs

Springfield Specialty Average (26.1 Years) 26.1 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	48	48	$248.71	$147.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	37	$192.75	$112.44
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$134.88	$78.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$291.00	$155.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	14	$149.00	$106.82

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	55	55	$247.00	$151.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	36	$192.10	$113.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$291.00	$155.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	22	$149.00	$104.00
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$134.00	$81.58
47562 Removal of gallbladder using an endoscope	14	14	$1087.00	$590.55

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	59	45	$191.00	$113.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$247.00	$148.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	39	$291.00	$182.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	23	$149.00	$94.19
47562 Removal of gallbladder using an endoscope	16	16	$1085.25	$632.84
99291 Critical care, first 30-74 minutes	12	12	$320.00	$203.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	48	$132.93	$84.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$246.95	$154.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$191.00	$120.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	35	$291.00	$186.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	26	$33.96	$20.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	12	$149.00	$96.19
47562 Removal of gallbladder using an endoscope	16	16	$1080.00	$636.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$163.80	$104.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	51	$109.00	$72.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	35	$291.00	$200.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$246.00	$160.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	23	$149.00	$103.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$198.00	$136.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$161.00	$104.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$159.00	$105.75
47562 Removal of gallbladder using an endoscope	13	13	$1071.00	$674.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	61	$109.00	$70.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$198.00	$133.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	29	$149.00	$101.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$161.00	$104.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$291.00	$197.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$246.00	$151.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$159.00	$104.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	19	$103.00	$71.12
47562 Removal of gallbladder using an endoscope	20	20	$1071.00	$658.63
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$196.00	$85.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	66	$109.00	$68.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	34	$149.00	$102.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	30	$103.00	$71.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$246.00	$156.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	40	$198.00	$134.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$291.76	$198.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$159.00	$103.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$161.00	$103.90
47562 Removal of gallbladder using an endoscope	22	22	$1071.00	$656.98
99291 Critical care, first 30-74 minutes	11	11	$320.00	$219.06

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	80	36	$121.70	$68.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	57	$169.89	$100.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$264.63	$153.50
99213 Established patient office or other outpatient visit, typically 15 minutes	62	48	$113.06	$67.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	55	$324.10	$192.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	19	$149.00	$101.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$171.07	$101.48
99291 Critical care, first 30-74 minutes	17	16	$420.59	$214.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$716.00	$181.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$648.92	$91.53
44204 Partial removal of large bowel using an endoscope	11	11	$3154.18	$1504.21

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35091693

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

2850571 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Springfield Specialty Care Llc

100 W Mccreight Ave, Springfield, OH 455041890

Phone: 9377174884

Secondary Practice Locations

2624 Lexington Ave, Suite 340

Springfield, OH 455052607

Phone: 9377174884

2624 Lexington Ave, Suite 340

Springfield, OH 455052607

Phone: 9377174884

900 Scioto St Ste 1

Urbana, OH 430782251

Phone: 9377174884

Practice Associates & Co-Workers

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

3 Associated Practitioners

Jeffrey Maendel

Surgery

NPI 1265842751

Dr. Daniel Persinger , MD

Surgery

NPI 1780939462

Doctor of Medicine (M.D.)

Janel Jones , PA-C

Physician Assistant

NPI 1891232815

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 11, 2017

Registered at 2253 OLYMPIC ST, SPRINGFIELD, OH 455032736 (Tel: 9377174884)

📍

Updated Practice Location December 11, 2017

Registered at 2624 LEXINGTON AVE, SUITE 340, SPRINGFIELD, OH 455052607 (Tel: 9377174884)

👤

Provider Name / Credentials Updated December 11, 2017

Recorded as TEDROS ANDOM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Surgery (License #35091693 in OH)

✅

NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2010

Registered at 2624 LEXINGTON AVE, SUITE 340, SPRINGFIELD, OH 455052607 (Tel: 9377174884)

📍

Updated Business Mailing Address August 05, 2010

Registered at 2624 LEXINGTON AVE, SUITE 340, SPRINGFIELD, OH 455052607 (Tel: 9377174884)

👤

Provider Name / Credentials Updated August 05, 2010

Recorded as TEDROS ANDOM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Surgery (License #35091693 in OH)

🟢

Initial NPI Registration & Enumeration September 29, 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: 1629160262

Entity Type:

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

Enumeration Date: September 29, 2006

Last Update: March 17, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2253 Olympic St

Springfield, OH 455032736

Phone: 9377174884

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.