Active NPI 1104885748 Individual Practitioner Male Practitioner

Dr. Rajesh Makkenchery , MD

Surgery • Gettysburg, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rajesh Makkenchery, MD is a certified Surgery practicing in Gettysburg, PA. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Makkenchery delivers high-quality medical care to the local community at 450 S WASHINGTON ST.

Dr. Makkenchery is affiliated with Wellspan Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, application of vein wound compression bandages on lower leg, ankle, and foot, 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

450 S Washington St
3rd Floor, Suite C

Gettysburg, PA 173252500

Telephone 7173348141

Fax 7173341885

Associated Practice Facility / Clinic

🏢 Gettysburg Surgical Associates Inc Facility NPI 1770524563

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gettysburg, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +3.9 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

10 Specialists

Practicing in Gettysburg, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Makkenchery (29 Years) 29 Yrs

Gettysburg Specialty Average (25.1 Years) 25.1 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	81	81	$285.06	$158.43
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	63	25	$201.73	$86.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	12	$43.00	$21.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	39	$253.00	$164.91
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$128.54	$85.76
45380 Biopsy of large bowel using an endoscope	34	32	$754.00	$123.79
45380 Biopsy of large bowel using an endoscope	30	30	$754.00	$118.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$195.00	$105.48
49650 Repair of groin hernia using an endoscope	24	24	$1259.18	$413.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$660.00	$89.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$401.00	$164.31
47562 Removal of gallbladder using an endoscope	21	21	$1731.37	$590.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$38.00	$16.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$971.00	$218.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$185.37	$121.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$143.00	$74.77
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	15	$2671.00	$297.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$971.00	$237.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$547.00	$172.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$660.00	$78.15

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	70	70	$279.17	$161.60
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	61	19	$269.97	$107.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	57	$245.05	$171.68
99213 Established patient office or other outpatient visit, typically 15 minutes	47	43	$122.51	$87.43
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	33	31	$38.00	$17.54
45380 Biopsy of large bowel using an endoscope	32	32	$754.00	$132.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$195.00	$106.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$660.00	$85.47
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	27	25	$2671.00	$321.87
49650 Repair of groin hernia using an endoscope	23	23	$1253.65	$432.46
45380 Biopsy of large bowel using an endoscope	21	21	$754.00	$151.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$401.00	$169.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$181.50	$117.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$971.00	$209.35
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$634.00	$207.96
47562 Removal of gallbladder using an endoscope	11	11	$1711.00	$606.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	61	22	$255.30	$106.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$277.00	$161.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	46	16	$43.00	$22.43
45380 Biopsy of large bowel using an endoscope	44	44	$754.00	$132.76
45380 Biopsy of large bowel using an endoscope	41	41	$754.00	$150.00
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$119.00	$87.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	33	$243.00	$177.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$195.00	$107.55
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	20	$38.00	$18.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$660.00	$72.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$271.00	$132.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$971.00	$159.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2671.00	$329.52
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$971.00	$190.01
47562 Removal of gallbladder using an endoscope	11	11	$1749.89	$636.83

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	59	59	$277.00	$166.42
45380 Biopsy of large bowel using an endoscope	55	55	$754.00	$143.48
45380 Biopsy of large bowel using an endoscope	37	37	$754.00	$122.49
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$119.00	$88.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	29	$243.00	$179.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$271.00	$134.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$660.00	$97.59
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	24	24	$2671.00	$327.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$971.00	$184.31
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	24	$38.00	$18.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$195.00	$111.12
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	21	11	$204.57	$95.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$180.00	$124.56
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$971.00	$184.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	14	$43.00	$22.24
49650 Repair of groin hernia using an endoscope	12	12	$1224.52	$456.44
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$660.00	$81.33

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	47	47	$277.00	$162.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$180.00	$105.96
45380 Biopsy of large bowel using an endoscope	32	32	$754.00	$131.46
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$119.00	$74.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	26	$38.00	$18.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$660.00	$87.93
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	20	$2671.00	$337.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$271.00	$138.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$243.00	$144.75
45380 Biopsy of large bowel using an endoscope	15	15	$754.00	$129.35
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$971.00	$248.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$195.00	$106.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$401.00	$202.13

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	75	75	$277.00	$160.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	48	$180.00	$106.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	45	$243.00	$141.87
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	36	35	$38.00	$18.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	36	35	$2671.00	$343.73
45380 Biopsy of large bowel using an endoscope	28	28	$754.00	$159.28
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$119.00	$72.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$660.00	$91.99
45380 Biopsy of large bowel using an endoscope	25	24	$754.00	$176.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$401.00	$201.31
47562 Removal of gallbladder using an endoscope	15	15	$1585.77	$635.46
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$660.00	$104.65
49650 Repair of groin hernia using an endoscope	13	13	$1107.23	$453.43
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$530.00	$170.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$106.20
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$421.00	$87.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$271.00	$136.38

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	63	63	$277.00	$160.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	56	$243.00	$139.54
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$119.00	$69.42
45380 Biopsy of large bowel using an endoscope	35	35	$754.00	$161.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$660.00	$84.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$349.00	$202.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$180.00	$104.66
45380 Biopsy of large bowel using an endoscope	24	24	$754.00	$182.06
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$38.00	$18.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$271.00	$129.13
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	14	$2671.00	$329.65
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	15	15	$1066.00	$277.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$852.00	$184.71
49650 Repair of groin hernia using an endoscope	14	14	$998.21	$425.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$530.00	$181.52
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$852.00	$192.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$660.00	$113.97
47562 Removal of gallbladder using an endoscope	13	13	$1675.04	$620.07
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$421.00	$98.15

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	88	76	$180.00	$103.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$277.00	$155.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	33	$660.00	$100.38
45380 Biopsy of large bowel using an endoscope	32	32	$566.41	$137.07
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$119.00	$70.44
45380 Biopsy of large bowel using an endoscope	24	24	$602.08	$149.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$271.00	$127.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$614.93	$158.72
49650 Repair of groin hernia using an endoscope	15	15	$873.63	$432.85
47562 Removal of gallbladder using an endoscope	14	14	$1506.14	$644.57
45378 Diagnostic exam of large bowel using a flexible endoscope	13	12	$761.00	$177.75
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$38.00	$18.77
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	11	$291.83	$118.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$195.00	$98.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$660.00	$108.92
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$667.27	$207.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$401.00	$198.72

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD428731

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 - Pediatric Surgery

NUCC Taxonomy Code: 2086S0120X

State License PA MD428731

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License PA MD428731

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License PA MD428731

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License PA MD428731

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

101565162 (PA)

Commercial Insurance / Payer ID Amerihealth Mercy-Wmg

20072213 (PA)

Commercial Insurance / Payer ID Aetna

7842893 (PA)

Commercial Insurance / Payer ID Johns Hopkins

211140 (PA)

Commercial Insurance / Payer ID Capital Blue Cross Wmg

50075821 (PA)

Commercial Insurance / Payer ID Gateway-Wmg

1551336 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

1840510 (PA)

Commercial Insurance / Payer ID Unison Wmg

232743 (PA)

Hospital & Practice Group Affiliations

Wellspan Medical Group

450 S Washington St 3rd Fl C, Gettysburg, PA 173252500

Phone: 7173393110

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Timothy Mckee , MD

Surgery

NPI 1275643843

Doctor of Medicine (M.D.)

Dr. David Doud , DO

Surgery

NPI 1609988039

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2016

Registered at 450 S WASHINGTON ST, 3RD FLOOR, SUITE C, GETTYSBURG, PA 173252500 (Tel: 7173348141)

📍

Updated Business Mailing Address July 21, 2016

Registered at 4 BRIGADIER COURT, GETTYSBURG, PA 17325 (Tel: 5086128485)

👤

Provider Name / Credentials Updated July 21, 2016

Recorded as RAJESH MAKKENCHERY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2016

Surgery (License #MD428731 in PA)

🟢

Initial NPI Registration & Enumeration March 22, 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: 1104885748

Entity Type:

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

Enumeration Date: March 22, 2006

Last Update: July 21, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4 Brigadier Court

Gettysburg, PA 17325

Phone: 5086128485

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.