Active NPI 1528061355 Individual Practitioner Male Practitioner

Dr. John Alan Semian , MD

Surgery • Danville, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Semian, MD is a certified Surgery practicing in Danville, PA. With approximately 31 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1995, Dr. Semian delivers high-quality medical care to the local community at 100 N ACADEMY AVE.

Dr. Semian maintains professional affiliations with Geisinger Clinic, Geisinger-Hm Joint Venture Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

100 N Academy Ave

Danville, PA 178227615

Telephone 5702716361

Fax 5702715785

Associated Practice Facility / Clinic

🏢 Select Specialty Hospital - Danville Inc Facility NPI 1497754667

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Danville, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +10.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

51 Specialists

Practicing in Danville, PA (1976 Statewide)

Telehealth Adoption Rate

13.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Semian (31 Years) 31 Yrs

Danville Specialty Average (20.2 Years) 20.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	55	53	$214.91	$62.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$325.00	$76.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	39	$167.00	$74.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	37	$175.00	$33.52
99441 Telephone medical discussion with physician, 5-10 minutes	27	25	$105.00	$33.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	19	$137.96	$46.87
99441 Telephone medical discussion with physician, 5-10 minutes	18	18	$95.56	$52.97
49505 Repair of groin hernia (5 years or older)	12	12	$2641.67	$537.51
49650 Repair of groin hernia using an endoscope	11	11	$4469.82	$544.12

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	55	40	$173.87	$76.28
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$205.90	$62.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$318.29	$78.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	29	$173.83	$47.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$169.94	$34.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$346.00	$122.25
47562 Removal of gallbladder using an endoscope	14	14	$4265.00	$636.21
49505 Repair of groin hernia (5 years or older)	11	11	$2375.64	$493.62

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	33	33	$299.36	$80.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	25	$195.50	$68.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$190.53	$37.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$451.89	$131.96
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$192.50	$61.63
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$289.40	$97.11
49568 Placement of mesh to repair incisional or abdominal hernia	15	15	$688.53	$262.07
49560 Repair of incisional or abdominal hernia	13	12	$4003.00	$673.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$290.33	$95.62
49505 Repair of groin hernia (5 years or older)	12	12	$2521.63	$560.47

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	75	54	$228.08	$69.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$278.91	$81.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$269.62	$98.20
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$710.00	$257.24
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$326.00	$98.75

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	65	50	$238.82	$71.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$255.32	$74.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$226.79	$78.51
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$180.75	$50.96
49560 Repair of incisional or abdominal hernia	14	14	$4145.96	$707.55
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$1020.83	$274.71

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	75	52	$233.00	$72.52
99213 Established patient office or other outpatient visit, typically 15 minutes	40	39	$183.22	$50.93
49568 Placement of mesh to repair incisional or abdominal hernia	33	32	$1425.12	$263.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$201.69	$74.82
49560 Repair of incisional or abdominal hernia	25	24	$3890.92	$660.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$213.00	$76.13
47562 Removal of gallbladder using an endoscope	13	13	$5019.00	$648.35
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$363.00	$101.31
49505 Repair of groin hernia (5 years or older)	11	11	$2573.45	$531.89

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	82	49	$233.00	$71.79
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$176.70	$50.56
49568 Placement of mesh to repair incisional or abdominal hernia	29	29	$1420.86	$256.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$210.54	$76.49
49560 Repair of incisional or abdominal hernia	23	23	$3968.19	$579.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$267.05	$109.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$209.32	$76.02
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$363.00	$100.16
47562 Removal of gallbladder using an endoscope	15	15	$5019.00	$663.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$83.17	$25.17
49505 Repair of groin hernia (5 years or older)	12	12	$2948.75	$588.17

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	130	88	$233.00	$70.75
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$363.00	$99.62
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$151.27	$49.96
49568 Placement of mesh to repair incisional or abdominal hernia	24	24	$1456.00	$270.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$206.71	$75.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$266.91	$108.86
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	18	$317.00	$102.31
47562 Removal of gallbladder using an endoscope	18	18	$5019.00	$658.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$212.50	$76.97
49560 Repair of incisional or abdominal hernia	16	16	$4003.00	$646.48

Medical Specialties & State Licenses

CMS Verified: 2020-06-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD418609

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License PA MD418609

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1011842550001 (PA)

Hospital & Practice Group Affiliations

Geisinger Clinic

100 N Academy Ave, Danville, PA 178229800

Phone: 5702716211

Geisinger-Hm Joint Venture Llc

255 Route 220 Hwy, Muncy, PA 177567569

Phone: 5703082600

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

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Doctor of Medicine (M.D.)

Dr. Jon Gabrielsen , MD

Surgery

NPI 1093829939

Doctor of Medicine (M.D.)

Dr. Mark Dudash , MD

Surgery

NPI 1124477617

Doctor of Medicine (M.D.)

Ayesha Qureshi

Student in an Organized Health Care Education/Training Program

NPI 1154111797

Dr. Hugo Villanueva , MD

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 19, 2020

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178227615 (Tel: 5702716361)

📍

Updated Business Mailing Address June 19, 2020

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 5702716144)

✅

NPI Profile Active February 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 01, 2008

Registered at 1 COMMERCE AVE, SELINSGROVE, PA 178707615 (Tel: 5703749339)

📍

Updated Business Mailing Address February 01, 2008

Registered at 1 COMMERCE AVE, SELINSGROVE, PA 178707615 (Tel: 5703749339)

👤

Provider Name / Credentials Updated February 01, 2008

Recorded as JOHN SEMIAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2008

Specialist (License #MD418609 in PA)

🟢

Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1528061355

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: June 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 N Academy Ave

Danville, PA 178224903

Phone: 5702716144

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.