Active NPI 1629403134 Individual Practitioner Female Practitioner

Amy Jo Hennessy

Physician Assistant • Toledo, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amy Hennessy is a certified Physician Assistant practicing in Toledo, OH. With approximately 13 years of clinical experience since completing medical education in 2013, Amy Hennessy delivers high-quality medical care to the local community at 5951 RENAISSANCE PL.

Amy Hennessy is affiliated with Mounir Boutros Md Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5951 Renaissance Pl

Toledo, OH 43623

Telephone 4198242288

Associated Practice Facility / Clinic

🏢 Mounir Boutros Md Inc Facility NPI 1437181203

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Toledo, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +3.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

235 Specialists

Practicing in Toledo, OH (5376 Statewide)

Telehealth Adoption Rate

6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hennessy (13 Years) 13 Yrs

Toledo Specialty Average (9.2 Years) 9.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	192	$175.00	$101.83
17003 Destruction of precancer skin growth, 2-14 growths	198	70	$15.00	$5.12
17110 Destruction of up to 14 skin growths	138	112	$175.00	$85.80
17000 Destruction of skin growth	137	106	$125.00	$41.24
99213 Established patient office or other outpatient visit, typically 15 minutes	91	75	$125.00	$72.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$175.00	$87.49
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	18	$175.00	$87.59
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$225.00	$107.25

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	226	181	$175.00	$96.69
17003 Destruction of precancer skin growth, 2-14 growths	195	55	$15.00	$4.98
17110 Destruction of up to 14 skin growths	124	104	$175.00	$79.68
17000 Destruction of skin growth	110	89	$125.00	$40.07
99213 Established patient office or other outpatient visit, typically 15 minutes	92	68	$125.00	$68.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$175.00	$85.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	15	$175.00	$80.73

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	147	$175.00	$99.47
17003 Destruction of precancer skin growth, 2-14 growths	137	46	$15.00	$5.20
17110 Destruction of up to 14 skin growths	104	89	$175.00	$80.76
17000 Destruction of skin growth	90	72	$125.00	$40.46
99213 Established patient office or other outpatient visit, typically 15 minutes	74	64	$125.00	$69.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$175.00	$85.99
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	16	$175.00	$80.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$75.00	$44.22

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	147	123	$175.00	$103.96
17003 Destruction of precancer skin growth, 2-14 growths	123	35	$15.00	$5.11
17110 Destruction of up to 14 skin growths	100	86	$175.00	$85.38
17000 Destruction of skin growth	66	53	$125.00	$39.06
99213 Established patient office or other outpatient visit, typically 15 minutes	59	50	$125.00	$75.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$175.00	$91.35
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	21	17	$175.00	$89.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$75.00	$46.21

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	134	113	$175.00	$88.14
17003 Destruction of precancer skin growth, 2-14 growths	132	38	$15.00	$4.87
17110 Destruction of up to 14 skin growths	111	81	$175.00	$84.35
99213 Established patient office or other outpatient visit, typically 15 minutes	79	69	$125.00	$61.81
17000 Destruction of skin growth	73	61	$125.00	$42.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$175.00	$88.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$75.00	$36.14
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	15	$225.00	$101.59
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$175.00	$72.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	143	38	$15.00	$4.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	117	$175.00	$88.10
99213 Established patient office or other outpatient visit, typically 15 minutes	115	87	$125.00	$60.26
17110 Destruction of up to 14 skin growths	99	82	$175.00	$78.85
17000 Destruction of skin growth	89	67	$125.00	$39.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$175.00	$86.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	28	$75.00	$36.50
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	29	25	$175.00	$83.37
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	23	$225.00	$107.85
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	14	$200.00	$106.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	140	43	$15.00	$4.16
99213 Established patient office or other outpatient visit, typically 15 minutes	130	101	$125.00	$57.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	105	$175.00	$83.90
17110 Destruction of up to 14 skin growths	102	83	$175.00	$79.64
17000 Destruction of skin growth	99	70	$125.00	$40.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$175.00	$86.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	37	$75.00	$34.70
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	27	23	$175.00	$87.42
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	12	$200.00	$85.99
11100 Biopsy of single growth of skin and/or tissue	12	12	$150.00	$75.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	213	55	$15.00	$4.55
99213 Established patient office or other outpatient visit, typically 15 minutes	149	110	$124.43	$59.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	103	$175.42	$87.50
17000 Destruction of skin growth	112	82	$126.25	$40.21
17110 Destruction of up to 14 skin growths	83	69	$176.81	$79.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$175.93	$88.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$75.00	$35.30
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	40	33	$178.00	$89.63
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	28	25	$223.39	$75.58
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	19	18	$199.21	$74.78
11100 Biopsy of single growth of skin and/or tissue	19	18	$159.47	$76.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	15	11	$20.00	$1.83
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	14	$197.00	$98.73
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$203.08	$109.92

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.003789RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License None 003789

Hospital & Practice Group Affiliations

Mounir Boutros Md Inc

5951 Renaissance Place, Toledo, OH 436234722

Mounir Boutros Md Inc

5951 Renaissance Pl, Toledo, OH 436234722

Phone: 4198242288

Mounir Boutros Md Inc

5951 Renaissance Pl, Toledo, OH 436234723

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Mounir Boutros , MD

Dermatology

NPI 1235105941

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Physician Assistant (License #50.003789RX in OH)

📍

Updated Practice Location July 06, 2018

Registered at 5951 RENAISSANCE PL, TOLEDO, OH 43623 (Tel: 4198242288)

👤

Provider Name / Credentials Updated July 06, 2018

Recorded as AMY HENNESSY

✅

NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2013

Registered at 5951 RENAISSANCE PL, TOLEDO, OH 436234722 (Tel: 4198242288)

📍

Updated Business Mailing Address September 04, 2013

Registered at 5951 RENAISSANCE PL, TOLEDO, OH 436234722 (Tel: 4198242288)

👤

Provider Name / Credentials Updated September 04, 2013

Recorded as AMY BERGAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Physician Assistant (License #003789 in None)

🟢

Initial NPI Registration & Enumeration September 04, 2013

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: 1629403134

Entity Type:

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

Enumeration Date: September 04, 2013

Last Update: August 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5951 Renaissance Pl

Toledo, OH 436234722

Phone: 4198242288

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.