Active NPI 1528012408 Individual Practitioner Female Practitioner

Dr. Nirupama Anne , MD, FACS

Surgery • Hershey, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nirupama Anne, MD, FACS is a certified Surgery practicing in Hershey, PA. With approximately 25 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 2001, Dr. Anne delivers high-quality medical care to the local community at 30 HOPE DR.

Dr. Anne is affiliated with City Of Hope Medical Group Of Georgia Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, new 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

30 Hope Dr

Hershey, PA 170332036

Telephone 7175318887

Fax 7175314974

Associated Practice Facility / Clinic

🏢 Lawall At Hershey, Inc. Facility NPI 1477554400

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hershey, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +6.6 yrs vs City Avg

City Avg: 18.4 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

48 Specialists

Practicing in Hershey, PA (1976 Statewide)

Telehealth Adoption Rate

10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anne (25 Years) 25 Yrs

Hershey Specialty Average (18.4 Years) 18.4 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	15	11	$192.18	$79.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	23	$146.95	$86.02
19301 Partial removal of breast	24	18	$1371.38	$601.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$399.65	$209.96
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	13	13	$1596.00	$309.15
38900 Lymph node imaging during surgery	12	11	$309.00	$129.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	132	$62.58	$58.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	11	$146.00	$125.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$157.15	$135.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	194	$60.29	$57.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	34	$91.90	$87.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	12	$125.00	$125.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$144.00	$134.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$195.42	$185.61
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1488.75	$154.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	209	$59.81	$51.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	42	$91.26	$77.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	15	$125.00	$110.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$191.38	$165.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$144.00	$128.54
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	13	$1500.68	$193.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	212	$77.28	$50.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$135.93	$77.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	34	$198.80	$107.42
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1488.75	$157.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	246	202	$87.85	$49.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	68	$152.48	$72.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	39	$223.44	$105.84
19301 Partial removal of breast	14	13	$1627.02	$452.10
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1488.75	$154.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	244	191	$82.64	$49.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	61	$209.00	$107.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	51	$141.00	$76.32
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	27	27	$1404.50	$156.62
76098 X-ray of surgical specimen	16	13	$17.95	$7.90
19301 Partial removal of breast	13	12	$1432.60	$360.16
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	12	12	$2358.25	$634.18

Medical Specialties & State Licenses

CMS Verified: 2025-01-30

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 78112

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 NY 238858

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License CT 047010

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License CT 047010

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License SC 88681

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License PA MD487631

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License NY 238858

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1528012408 (CT)

Medicaid State Provider ID

02770854 (NY)

Commercial Insurance / Payer ID Aetna

7966939 (CT)

Commercial Insurance / Payer ID Multiplan

06-1406459 (CT)

Commercial Insurance / Payer ID Great West Healthcare

06-1406459 (CT)

Commercial Insurance / Payer ID Oxford

P3936800 (CT)

Commercial Insurance / Payer ID Cigna

0303481 (CT)

Commercial Insurance / Payer ID United Healthcare

06-1406459 (CT)

Commercial Insurance / Payer ID Wellcare

06-1406459 (CT)

Commercial Insurance / Payer ID Pioneer

06-1406459 (CT)

Hospital & Practice Group Affiliations

City Of Hope Medical Group Of Georgia Llc

600 Celebrate Life Pkwy, Newnan, GA 302658001

Phone: 7704006080

Secondary Practice Locations

169 Riverside Drive, Suite 300

Binghamton, NY 13905

Phone: 6077985916

2 Medical Park Rd Ste 300

Columbia, SC 292036839

Phone: 8034348800

800 E 28th St Ste 401

Minneapolis, MN 554073723

Phone: 6128630200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Karima Fitzgerald , MD

Surgery - Trauma Surgery

NPI 1003048802

Doctor of Medicine (M.D.)

Dr. Saamia Shaikh , DO

Surgery

NPI 1013536499

Doctor of Osteopathic Medicine (D.O.)

Dr. Lacee Laufenberg-Puopolo , MD

Surgery - Trauma Surgery

NPI 1033344403

Doctor of Medicine (M.D.)

Dr. Kevin Mckenna , MD

Colon & Rectal Surgery

NPI 1043268634

Doctor of Medicine (M.D.)

Christine Ardell , CRNP

Nurse Practitioner

NPI 1043573389

Certified Registered Nurse Practitioner

Samuel Zolin

Surgery

NPI 1043674328

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location January 03, 2025

Registered at 30 HOPE DR, HERSHEY, PA 170332036 (Tel: 7175318887)

📍

Updated Business Mailing Address January 03, 2025

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360

📍

Updated Practice Location September 02, 2022

Registered at 2 MEDICAL PARK RD STE 300, COLUMBIA, SC 292036839 (Tel: 8034348800)

📍

Updated Business Mailing Address September 02, 2022

Registered at 300 E MCBEE AVE FL 4, GREENVILLE, SC 296012842

✅

NPI Profile Active February 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2013

Registered at 169 RIVERSIDE DRIVE, SUITE 300, BINGHAMTON, NY 13905 (Tel: 6077985916)

📍

Updated Business Mailing Address February 18, 2013

Registered at 169 RIVERSIDE DRIVE, SUITE 300, BINGHAMTON, NY 13905 (Tel: 6077985916)

👤

Provider Name / Credentials Updated February 18, 2013

Recorded as NIRUPAMA ANNE, M.D., F.A.C.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2013

Surgery (License #047010 in CT)

🟢

Initial NPI Registration & Enumeration May 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: 1528012408

Entity Type:

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

Enumeration Date: May 22, 2006

Last Update: January 30, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

500 University Dr

Hershey, PA 170332360

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.