Active NPI 1922086131 Individual Practitioner Male Practitioner

Dr. Andrew Billon , MD

Surgery • Indiana, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Billon, MD is a certified Surgery practicing in Indiana, PA. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Billon delivers high-quality medical care to the local community at 841 HOSPITAL RD.

Dr. Billon is affiliated with Indiana Healthcare Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, 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

841 Hospital Rd

Indiana, PA 157013620

Telephone 7244631414

Fax 7244631541

Associated Practice Facility / Clinic

🏢 Diamond Drugs, Inc. Facility NPI 1720049315

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Indiana, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +2.3 yrs vs City Avg

City Avg: 39.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Indiana, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Billon (42 Years) 42 Yrs

Indiana Specialty Average (39.7 Years) 39.7 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	48	40	$159.29	$86.74
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$470.00	$171.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$110.00	$51.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$163.00	$107.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$181.33	$124.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	40	$159.92	$87.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$110.00	$54.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$169.50	$108.93
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$470.00	$174.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$287.00	$112.84
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$120.00	$70.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$120.00	$89.24
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$470.00	$176.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$110.00	$55.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$158.00	$122.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$159.00	$107.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	14	$287.00	$122.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$242.00	$164.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$213.00	$177.63
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$395.00	$252.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	42	$120.00	$89.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	34	$110.00	$55.37
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	39	39	$470.00	$183.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$159.00	$111.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$287.00	$107.13
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$120.00	$71.93
47562 Removal of gallbladder using an endoscope	11	11	$1350.00	$665.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$120.00	$73.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	45	$110.00	$44.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	35	35	$470.00	$182.76
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$120.00	$74.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$164.06	$102.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$229.00	$137.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	12	$395.00	$258.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	76	$91.42	$43.78
99213 Established patient office or other outpatient visit, typically 15 minutes	54	46	$110.85	$72.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	45	45	$470.00	$187.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$247.11	$132.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$42.67	$21.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	72	$64.00	$41.15
99213 Established patient office or other outpatient visit, typically 15 minutes	64	49	$107.00	$68.02
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$110.00	$70.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	25	$364.85	$129.42
93923 Complete ultrasound study of arm and leg arteries	20	19	$48.00	$21.42
93922 Ultrasound study of arm and leg arteries	20	20	$19.00	$11.62
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$317.50	$174.29
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$292.00	$176.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$422.80	$182.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$128.00	$69.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	72	$63.43	$40.15
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$106.30	$67.39
45378 Diagnostic exam of large bowel using a flexible endoscope	38	38	$445.74	$175.94
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$108.89	$68.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	20	$465.91	$131.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$158.27	$101.31
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$169.18	$96.63

Medical Specialties & State Licenses

CMS Verified: 2021-03-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD037129E

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0011842250003 (PA)

Hospital & Practice Group Affiliations

Indiana Healthcare Physician Services Inc

879 Hospital Rd, Indiana, PA 157013629

Phone: 8884524762

Indiana Healthcare Physician Services Inc

875 Hospital Rd, Indiana, PA 157013629

Phone: 7243477493

Indiana Healthcare Physician Services Inc

841 Hospital Rd, Indiana, PA 157013699

Practice Associates & Co-Workers

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

5 Associated Practitioners

Maria Stiles , CRNP

Internal Medicine - Gastroenterology

NPI 1124777511

Certified Registered Nurse Practitioner

Dr. Ronald Cramer , DO

Internal Medicine - Gastroenterology

NPI 1275586000

Doctor of Osteopathic Medicine (D.O.)

Rheanna Toy , CRNP

Nurse Practitioner

NPI 1366139974

Certified Registered Nurse Practitioner

Bonnie Cramer , CRNP

Nurse Practitioner - Family

NPI 1679120588

Certified Registered Nurse Practitioner

Dr. Marc Tucker , DO

Surgery

NPI 1760455067

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 June 30, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2010

Registered at 841 HOSPITAL RD, INDIANA, PA 157013620 (Tel: 7244631414)

📍

Updated Business Mailing Address June 30, 2010

Registered at 841 HOSPITAL RD, SUITE 2300, INDIANA, PA 157013620 (Tel: 7244631414)

👤

Provider Name / Credentials Updated June 30, 2010

Recorded as ANDREW BILLON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2010

Surgery (License #MD037129E in PA)

🟢

Initial NPI Registration & Enumeration January 06, 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: 1922086131

Entity Type:

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

Enumeration Date: January 06, 2006

Last Update: March 12, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

841 Hospital Rd, Suite 2300

Indiana, PA 157013620

Phone: 7244631414

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.