Active NPI 1497928857 Individual Practitioner Male Practitioner

Dr. Paul Cesanek , MD

Surgery • Allentown, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Paul Cesanek, MD is a certified Surgery practicing in Allentown, PA. With approximately 22 years of clinical experience since graduating from Temple University School Of Medicine in 2004, Dr. Cesanek delivers high-quality medical care to the local community at 1240 S CEDAR CREST BLVD.

Dr. Cesanek is affiliated with Lehigh Valley Physician Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1240 S Cedar Crest Blvd
Suite 208

Allentown, PA 181036369

Telephone 6104394055

Fax 6104398650

Associated Practice Facility / Clinic

🏢 Pain Specialists Of Greater Lehigh Valley, P.c. Facility NPI 1679560403

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Allentown, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +5.2 yrs vs City Avg

City Avg: 16.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

80 Specialists

Practicing in Allentown, PA (1976 Statewide)

Telehealth Adoption Rate

11.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cesanek (22 Years) 22 Yrs

Allentown Specialty Average (16.8 Years) 16.8 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$325.00	$153.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	41	$180.00	$71.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$250.00	$121.18
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$180.00	$85.99
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	23	23	$4250.22	$1565.45
49650 Repair of groin hernia using an endoscope	20	20	$1370.63	$417.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$220.00	$105.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$155.00	$46.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$880.00	$122.70
47562 Removal of gallbladder using an endoscope	13	13	$1721.54	$625.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$300.00	$123.48

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	54	48	$214.17	$123.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$316.19	$155.93
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$149.14	$87.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	21	$171.29	$74.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$155.00	$48.57
49650 Repair of groin hernia using an endoscope	16	16	$1593.75	$529.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$675.00	$128.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$275.00	$127.18
99238 Hospital discharge day management, 30 minutes or less	13	13	$146.92	$78.74
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$585.00	$109.03
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	13	13	$3621.69	$1699.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$775.00	$178.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1045.00	$244.92

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	58	54	$205.00	$111.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$315.00	$162.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	35	$170.00	$66.95
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$140.00	$88.73
49650 Repair of groin hernia using an endoscope	27	27	$1534.72	$499.70
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$675.00	$113.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$205.00	$110.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1045.00	$252.13
47562 Removal of gallbladder using an endoscope	14	14	$1460.00	$617.18
99238 Hospital discharge day management, 30 minutes or less	12	12	$140.00	$70.33

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	62	56	$205.00	$124.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	38	$170.00	$71.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$315.00	$163.64
99213 Established patient office or other outpatient visit, typically 15 minutes	37	32	$140.00	$88.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$205.00	$111.28
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	17	$155.00	$38.07
49650 Repair of groin hernia using an endoscope	19	18	$1619.08	$541.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$675.00	$118.02
49654 Repair of incisional hernia using an endoscope	13	12	$1677.85	$604.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$775.00	$186.50
47562 Removal of gallbladder using an endoscope	12	12	$1496.50	$616.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1045.00	$254.28
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	11	11	$3150.00	$1362.18

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	92	62	$151.74	$72.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	71	$205.00	$104.80
99213 Established patient office or other outpatient visit, typically 15 minutes	61	51	$140.00	$72.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$315.00	$163.75
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	$102.54
49650 Repair of groin hernia using an endoscope	26	26	$957.69	$450.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$675.00	$132.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	21	$1045.00	$262.46
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	13	13	$3150.00	$1537.71
47562 Removal of gallbladder using an endoscope	13	13	$1460.00	$635.88
49654 Repair of incisional hernia using an endoscope	11	11	$1729.45	$729.37

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	111	74	$140.00	$72.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	71	$205.00	$104.46
99213 Established patient office or other outpatient visit, typically 15 minutes	75	64	$140.00	$72.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$315.00	$162.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$205.00	$106.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$675.00	$112.43
47562 Removal of gallbladder using an endoscope	24	24	$1460.00	$623.29
49650 Repair of groin hernia using an endoscope	15	15	$913.00	$443.35
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$195.00	$94.17
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$780.00	$378.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1045.00	$263.54

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	122	75	$140.00	$66.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	80	$205.00	$104.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$315.00	$160.66
99213 Established patient office or other outpatient visit, typically 15 minutes	73	53	$140.00	$70.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$205.00	$104.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$120.00	$38.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	22	$675.00	$131.90
47562 Removal of gallbladder using an endoscope	18	18	$1484.33	$600.45
49650 Repair of groin hernia using an endoscope	18	18	$1014.44	$479.97
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$195.00	$96.35
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1045.00	$260.64
49505 Repair of groin hernia (5 years or older)	13	13	$1015.00	$523.03
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$3150.00	$1564.50
99238 Hospital discharge day management, 30 minutes or less	12	12	$140.00	$71.84

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	233	122	$140.00	$70.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	86	$205.00	$99.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$315.00	$157.56
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$140.00	$69.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$205.00	$102.48
49505 Repair of groin hernia (5 years or older)	41	41	$1096.70	$538.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$265.00	$132.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$390.00	$198.72
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$195.00	$99.63
47562 Removal of gallbladder using an endoscope	22	22	$1499.82	$664.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	16	$120.00	$38.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$675.00	$122.39
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$775.00	$187.46
99238 Hospital discharge day management, 30 minutes or less	11	11	$140.00	$70.79

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD432333

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 PA MT183919

Hospital & Practice Group Affiliations

Lehigh Valley Physician Group

5649 Wynnewood Dr, Laurys Station, PA 180591124

Phone: 6102626641

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Richard Boorse , MD

Surgery

NPI 1568462786

Doctor of Medicine (M.D.)

Dr. Thomas Harrison , DO

Surgery

NPI 1598729741

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Beman , MD

Surgery

NPI 1619977840

Doctor of Medicine (M.D.)

Karen Gonzalez , CRNP

Nurse Practitioner - Family

NPI 1780815597

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 24, 2015

Registered at 1240 S CEDAR CREST BLVD, SUITE 208, ALLENTOWN, PA 181036369 (Tel: 6104394055)

📍

Updated Business Mailing Address November 24, 2015

Registered at PO BOX 783311, PHILADELPHIA, PA 191783311

👤

Provider Name / Credentials Updated November 24, 2015

Recorded as PAUL CESANEK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2015

Surgery (License #MD432333 in PA)

🟢

Initial NPI Registration & Enumeration April 08, 2008

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: 1497928857

Entity Type:

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

Enumeration Date: April 08, 2008

Last Update: November 24, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 783311

Philadelphia, PA 191783311

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.