Active NPI 1710128855 Individual Practitioner Female Practitioner

Dr. Rachel Christine Lovano , MD

Surgery • Wilmington, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rachel Lovano, MD is a certified Surgery practicing in Wilmington, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Lovano delivers high-quality medical care to the local community at 630 W MAIN ST STE 304.

Dr. Lovano maintains professional affiliations with Wilmington Physicians Group Llc, Trihealth H Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

630 W Main St Ste 304

Wilmington, OH 451772171

Telephone 9372832520

Fax 9372832527

Associated Practice Facility / Clinic

🏢 Professional Emergency Specialists Of Southern Ohio Facility NPI 1356329890

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wilmington, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +4.2 yrs vs City Avg

City Avg: 15.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Wilmington, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lovano (20 Years) 20 Yrs

Wilmington Specialty Average (15.8 Years) 15.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$150.00	$85.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$221.00	$126.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$340.00	$157.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$284.00	$82.08
45380 Biopsy of large bowel using an endoscope	11	11	$414.00	$150.87

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	25	25	$340.00	$159.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$222.00	$107.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$221.00	$122.71
45380 Biopsy of large bowel using an endoscope	16	16	$414.00	$126.40
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$150.00	$80.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$152.00	$76.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$150.00	$81.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$222.00	$106.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	13	$284.00	$87.06
45380 Biopsy of large bowel using an endoscope	16	16	$414.00	$140.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$340.00	$154.41

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	48	48	$222.00	$109.66
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$150.00	$89.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$340.00	$158.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$83.00	$37.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$284.00	$87.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$524.00	$252.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$221.00	$126.50
45380 Biopsy of large bowel using an endoscope	12	12	$414.00	$61.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$2201.00	$292.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	21	$83.00	$39.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$222.00	$98.98
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$150.00	$73.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$340.00	$162.18
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$213.00	$102.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$221.00	$106.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	17	$83.00	$39.06
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$150.00	$70.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$222.00	$99.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$340.00	$155.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$299.00	$142.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$288.00	$135.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$284.00	$93.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$428.00	$202.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$150.00	$66.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	13	$83.00	$38.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$340.00	$154.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$222.00	$104.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$89.00	$39.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	22	$369.83	$97.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$221.00	$103.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$288.00	$134.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$428.00	$200.81
45380 Biopsy of large bowel using an endoscope	14	14	$532.29	$177.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	21	$74.38	$37.20
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$146.35	$66.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$330.74	$153.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$279.43	$129.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$215.62	$99.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$217.33	$100.50
11100 Biopsy of single growth of skin and/or tissue	28	26	$205.92	$94.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$420.00	$193.42
11101 Biopsy of each additional growth of skin and/or tissue	22	13	$67.00	$30.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$291.61	$134.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$86.66	$40.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$682.00	$105.75
47562 Removal of gallbladder using an endoscope	11	11	$1371.36	$634.65

Medical Specialties & State Licenses

CMS Verified: 2020-04-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 127690

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX N9121

Hospital & Practice Group Affiliations

Trihealth H Llc

375 Dixmyth Ave, Cincinnati, OH 452202475

Trihealth H Llc

379 Dixmyth Ave, Cincinnati, OH 452202475

Phone: 5132467000

Wilmington Physicians Group Llc

630 W Main St, Wilmington, OH 451772171

Trihealth H Llc

610 W Main St, Wilmington, OH 451772125

Phone: 9372832588

Wilmington Physicians Group Llc

610 W Main St, Wilmington, OH 451772125

Phone: 9372839906

Trihealth H Llc

630 W Main St, Wilmington, OH 451772171

Wilmington Physicians Group Llc

630 W Main St, Wilmington, OH 451772166

Phone: 9372832570

Practice Associates & Co-Workers

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

1 Associated Practitioners

Daniel Fogt

Surgery

NPI 1083103865

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 25, 2020

Registered at 630 W MAIN ST STE 304, WILMINGTON, OH 451772171 (Tel: 9372832520)

📍

Updated Business Mailing Address April 25, 2020

Registered at 610 W MAIN ST, WILMINGTON, OH 451772194 (Tel: 9372832520)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2020

Surgery (License #127690 in OH)

✅

NPI Profile Active August 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2015

Registered at 4499 MEDICAL DR, SUITE #250, SAN ANTONIO, TX 782293735 (Tel: 2106143565)

📍

Updated Business Mailing Address August 06, 2015

Registered at 4499 MEDICAL DR, SUITE 250, SAN ANTONIO, TX 782293735 (Tel: 2106143565)

👤

Provider Name / Credentials Updated August 06, 2015

Recorded as RACHEL LOVANO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2015

Surgery (License #N9121 in TX)

🟢

Initial NPI Registration & Enumeration March 19, 2009

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: 1710128855

Entity Type:

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

Enumeration Date: March 19, 2009

Last Update: April 25, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

610 W Main St

Wilmington, OH 451772194

Phone: 9372832520

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.