Active NPI 1942460084 Individual Practitioner Female Practitioner

Dr. Kathryn O Giroux , MD

Surgery • Johnstown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kathryn Giroux, MD is a certified Surgery practicing in Johnstown, PA. With approximately 18 years of clinical experience since graduating from Temple University School Of Medicine in 2008, Dr. Giroux delivers high-quality medical care to the local community at 1086 FRANKLIN ST.

Dr. Giroux is affiliated with Champlain Valley Physicians Hospital Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

1086 Franklin St

Johnstown, PA 159054305

Telephone 8145341660

Fax 8145341680

Associated Practice Facility / Clinic

🏢 Conemaugh Health Initiatives Facility NPI 1427051440

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Johnstown, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -1.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

49 Specialists

Practicing in Johnstown, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Giroux (18 Years) 18 Yrs

Johnstown Specialty Average (19.5 Years) 19.5 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	49	$49.53	$34.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	34	$169.38	$77.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$147.29	$79.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$313.53	$127.19

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	58	42	$47.40	$34.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	18	$160.85	$77.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$140.14	$80.55
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$93.71	$64.41

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	79	35	$138.08	$69.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	51	$58.00	$35.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	18	$210.20	$101.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$174.47	$82.39
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$104.00	$66.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$261.74	$132.19
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$328.75	$181.11
38900 Lymph node imaging during surgery	14	14	$255.57	$134.96
76998 Ultrasonic guidance during surgery	13	12	$270.92	$60.39
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1302.25	$217.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	45	$218.00	$101.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	43	$94.00	$35.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$230.47	$82.73
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$155.69	$66.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$424.00	$197.01
99238 Hospital discharge day management, 30 minutes or less	15	14	$153.00	$70.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$352.91	$134.61

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	50	34	$94.00	$25.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	30	$153.00	$72.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	20	$218.00	$103.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$230.00	$75.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$287.00	$136.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$442.00	$168.61
99238 Hospital discharge day management, 30 minutes or less	13	13	$153.00	$72.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$229.00	$78.86
38900 Lymph node imaging during surgery	12	12	$289.00	$137.85
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$994.91	$227.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	89	44	$199.64	$101.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	33	$83.29	$24.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$264.06	$133.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$140.31	$70.86
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$139.36	$49.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$310.00	$125.34
99238 Hospital discharge day management, 30 minutes or less	21	20	$138.00	$71.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$386.00	$197.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$205.36	$76.87

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	44	27	$76.91	$24.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	15	$125.40	$70.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$241.96	$132.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	20	$182.13	$101.06
99238 Hospital discharge day management, 30 minutes or less	16	16	$126.75	$70.80
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$128.13	$49.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$283.33	$124.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	47	$76.55	$37.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	44	$94.00	$24.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	52	$240.72	$132.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$207.20	$74.02
99238 Hospital discharge day management, 30 minutes or less	23	21	$127.83	$70.22
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$141.00	$49.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$125.67	$69.99
47562 Removal of gallbladder using an endoscope	13	13	$2186.23	$632.86

Medical Specialties & State Licenses

CMS Verified: 2020-10-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 270047

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 MT192618

Hospital & Practice Group Affiliations

Champlain Valley Physicians Hospital Medical Center

75 Beekman St, Plattsburgh, NY 129011438

Phone: 5185627100

Secondary Practice Locations

16 3rd St Ste B

Malone, NY 129531366

Phone: 5184812632

75 Beekman St

Plattsburgh, NY 129011438

Phone: 5185612000

Practice Associates & Co-Workers

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

30 Associated Practitioners

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NPI 1063832319

Doctor of Osteopathic Medicine (D.O.)

Zoe Wecht

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Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2008

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145341660)

📍

Updated Business Mailing Address June 12, 2008

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8145341660)

👤

Provider Name / Credentials Updated June 12, 2008

Recorded as KATHRYN GIROUX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

Surgery (License #MT192618 in PA)

🟢

Initial NPI Registration & Enumeration June 12, 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: 1942460084

Entity Type:

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

Enumeration Date: June 12, 2008

Last Update: October 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1086 Franklin St

Johnstown, PA 159054305

Phone: 8145341660

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.