Active NPI 1932367919 Individual Practitioner Male Practitioner

Dr. John Douglas Affuso , MD

Surgery - Vascular Surgery • Lancaster, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Affuso, MD is a certified Surgery - Vascular Surgery practicing in Lancaster, PA. With approximately 19 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2007, Dr. Affuso delivers high-quality medical care to the local community at 2104 HARRISBURG PIKE STE 200.

Dr. Affuso is affiliated with Lancaster General Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound study of arm and leg arteries, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2104 Harrisburg Pike Ste 200

Lancaster, PA 176012644

Telephone 7175443626

Fax 7175443628

Associated Practice Facility / Clinic

🏢 Lancaster Surgical Group Pc Facility NPI 1851341838

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Lancaster, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -5.6 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Lancaster, PA (279 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Affuso (19 Years) 19 Yrs

Lancaster Specialty Average (24.6 Years) 24.6 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	239	189	$170.92	$85.52
93922 Ultrasound study of arm and leg arteries	96	78	$167.72	$50.58
93880 Ultrasound of both sides of head and neck blood flow	85	84	$394.73	$150.74
93926 Ultrasound of one leg arteries or artery grafts	68	55	$237.68	$99.78
93923 Complete ultrasound study of arm and leg arteries	53	53	$50.25	$20.48
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	50	49	$354.56	$132.94
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	42	39	$100.38	$11.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$210.00	$105.38
93922 Ultrasound study of arm and leg arteries	41	40	$28.71	$11.22
93923 Complete ultrasound study of arm and leg arteries	34	34	$233.21	$87.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	24	$144.25	$73.29
76937 Ultrasonic guidance for blood vessel access	31	31	$49.10	$12.82
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	30	30	$61.40	$16.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$244.60	$121.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$281.50	$123.72
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	26	26	$299.50	$82.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$337.67	$164.96
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2463.82	$311.25
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	16	15	$169.50	$77.87
93990 Ultrasound of dialysis access	16	15	$252.13	$106.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$336.00	$158.52
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	15	$873.50	$226.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$228.07	$77.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$148.00	$53.34
93882 Ultrasound of one side of head and neck blood flow	15	15	$259.40	$100.65
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	14	$2375.40	$223.50
75716 Review by radiologist of both arms or legs arteries image	14	13	$197.71	$87.19
75625 Radiological supervision and interpretation X-ray of abdominal aorta	13	13	$172.31	$63.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	12	$41.69	$15.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	188	$167.00	$85.42
93922 Ultrasound study of arm and leg arteries	76	66	$181.21	$58.35
93880 Ultrasound of both sides of head and neck blood flow	64	63	$432.08	$172.87
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	55	51	$98.00	$12.03
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	48	47	$403.33	$157.86
93926 Ultrasound of one leg arteries or artery grafts	43	33	$251.07	$106.98
93923 Complete ultrasound study of arm and leg arteries	39	39	$49.00	$20.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$205.00	$105.37
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	26	$60.00	$17.30
76937 Ultrasonic guidance for blood vessel access	27	26	$48.00	$13.70
93922 Ultrasound study of arm and leg arteries	26	26	$28.00	$11.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	20	$134.68	$76.24
93923 Complete ultrasound study of arm and leg arteries	23	22	$277.26	$110.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$274.00	$125.39
93990 Ultrasound of dialysis access	22	22	$274.00	$116.52
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	21	19	$2329.00	$227.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	18	$250.00	$91.89
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	17	16	$852.00	$226.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$237.00	$115.87
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$2414.00	$317.29
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	15	$168.00	$64.65
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	11	$165.00	$79.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$104.00	$53.90
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	12	12	$292.00	$97.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$332.00	$171.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$324.00	$159.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	198	$167.00	$86.66
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	63	56	$98.00	$12.35
93880 Ultrasound of both sides of head and neck blood flow	58	58	$449.00	$186.30
93922 Ultrasound study of arm and leg arteries	54	52	$192.00	$64.39
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	48	46	$418.00	$170.48
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	38	36	$60.00	$18.10
93990 Ultrasound of dialysis access	33	30	$274.00	$125.72
93923 Complete ultrasound study of arm and leg arteries	31	30	$49.00	$21.72
76937 Ultrasonic guidance for blood vessel access	30	30	$48.00	$13.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$324.00	$158.98
93926 Ultrasound of one leg arteries or artery grafts	29	27	$266.00	$117.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$205.00	$108.62
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	29	29	$292.00	$110.00
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	28	25	$2329.00	$233.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$237.00	$120.17
93922 Ultrasound study of arm and leg arteries	25	25	$28.00	$12.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	18	$142.00	$69.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$274.00	$130.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	18	$332.00	$170.16
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	19	$165.00	$81.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$104.00	$54.71
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$2414.00	$317.66
93923 Complete ultrasound study of arm and leg arteries	18	18	$299.00	$118.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	17	$45.00	$22.26
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	15	$852.00	$227.55
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	15	$168.00	$67.03
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$250.00	$109.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$402.00	$191.95
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	12	11	$924.00	$378.29
93925 Ultrasound of leg arteries or artery grafts	12	12	$432.00	$236.16
36821 Relocation of arm vein with connection to arm artery, open procedure	12	12	$2151.00	$628.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	181	$166.77	$89.88
93880 Ultrasound of both sides of head and neck blood flow	71	70	$401.66	$187.34
93922 Ultrasound study of arm and leg arteries	61	51	$169.31	$64.54
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	49	45	$98.00	$12.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$324.00	$163.95
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	43	43	$60.00	$18.66
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	43	41	$401.63	$169.46
93926 Ultrasound of one leg arteries or artery grafts	38	33	$260.37	$123.24
76937 Ultrasonic guidance for blood vessel access	33	32	$48.00	$13.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$274.00	$134.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$237.00	$128.53
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	27	23	$2329.00	$231.05
93990 Ultrasound of dialysis access	26	23	$274.00	$119.91
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	24	22	$292.00	$115.30
93923 Complete ultrasound study of arm and leg arteries	22	22	$280.50	$124.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$332.00	$172.95
93923 Complete ultrasound study of arm and leg arteries	21	21	$48.14	$21.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	19	$142.00	$71.17
93925 Ultrasound of leg arteries or artery grafts	20	17	$432.00	$245.73
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	20	20	$2129.10	$334.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$205.00	$103.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$402.00	$198.13
93922 Ultrasound study of arm and leg arteries	17	17	$26.12	$12.73
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	17	$250.00	$103.20
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	16	16	$852.00	$243.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	14	$60.00	$22.23
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	$406.00	$220.16
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	14	12	$191.00	$89.83
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	11	$168.00	$63.06
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	11	11	$419.00	$71.30
34705 Repair of non-ruptured aorta and groin arteries on both sides with graft inserted through artery, including radiological supervision and interpretation	11	11	$3146.00	$1527.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	160	$142.00	$73.24
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	73	68	$98.00	$12.55
93922 Ultrasound study of arm and leg arteries	55	46	$132.44	$52.33
93880 Ultrasound of both sides of head and neck blood flow	53	52	$358.00	$176.30
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	50	49	$60.00	$19.00
93926 Ultrasound of one leg arteries or artery grafts	43	38	$266.00	$107.80
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	36	35	$388.67	$158.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	25	$142.00	$70.96
76937 Ultrasonic guidance for blood vessel access	28	28	$48.00	$14.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$210.00	$105.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$274.00	$138.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	21	$78.00	$39.65
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	19	$165.00	$87.66
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1600.00	$338.86
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	21	$168.00	$71.35
93990 Ultrasound of dialysis access	20	19	$274.00	$110.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$324.00	$155.57
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	20	20	$852.00	$232.79
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	19	18	$292.00	$101.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$205.00	$106.53
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	17	15	$2329.00	$241.50
93923 Complete ultrasound study of arm and leg arteries	17	17	$236.59	$111.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	13	$68.00	$22.57
93923 Complete ultrasound study of arm and leg arteries	15	15	$46.00	$22.61
93882 Ultrasound of one side of head and neck blood flow	15	14	$232.00	$112.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$280.00	$145.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$402.00	$203.45
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$148.00	$74.35
37228 Balloon dilation of artery of leg, initial vessel	11	11	$1184.50	$589.89
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$354.00	$147.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	184	$142.00	$68.97
93922 Ultrasound study of arm and leg arteries	60	46	$163.63	$63.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	55	46	$98.00	$12.20
93880 Ultrasound of both sides of head and neck blood flow	52	51	$358.00	$191.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	35	$140.73	$72.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$210.00	$104.44
93926 Ultrasound of one leg arteries or artery grafts	43	32	$266.00	$125.79
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	30	30	$60.00	$18.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$324.00	$157.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$274.00	$136.68
93923 Complete ultrasound study of arm and leg arteries	25	24	$262.00	$124.31
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	25	20	$165.00	$87.29
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	25	23	$418.00	$179.23
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	23	21	$292.00	$113.96
93923 Complete ultrasound study of arm and leg arteries	22	22	$55.82	$22.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$84.00	$38.15
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	19	16	$2329.00	$235.35
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$1600.00	$344.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$250.00	$116.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$280.00	$141.36
93882 Ultrasound of one side of head and neck blood flow	16	16	$232.00	$122.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$402.00	$201.75
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	13	$168.00	$56.30
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	15	15	$1100.00	$168.11
93990 Ultrasound of dialysis access	14	14	$274.00	$130.44
76937 Ultrasonic guidance for blood vessel access	13	13	$48.00	$13.44
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$402.00	$201.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$205.00	$97.12
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	13	12	$924.00	$391.03
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$354.00	$187.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	152	$142.00	$67.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	39	$142.00	$71.82
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	51	45	$98.00	$12.60
93922 Ultrasound study of arm and leg arteries	49	37	$166.00	$64.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$210.00	$98.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$324.00	$157.27
93926 Ultrasound of one leg arteries or artery grafts	33	23	$266.00	$127.38
93880 Ultrasound of both sides of head and neck blood flow	33	33	$358.00	$193.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$205.00	$95.95
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	28	25	$418.00	$181.20
97597 Removal of tissue from wound, 20.0 sq cm or less	27	23	$146.00	$23.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$280.00	$137.96
93923 Complete ultrasound study of arm and leg arteries	24	24	$262.00	$129.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	24	24	$60.00	$18.54
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	21	19	$2329.00	$244.68
75625 Radiological supervision and interpretation X-ray of abdominal aorta	20	18	$168.00	$55.78
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	19	17	$165.00	$85.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$1600.00	$341.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$274.00	$130.38
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	17	17	$292.00	$113.96
76937 Ultrasonic guidance for blood vessel access	16	16	$48.00	$14.35
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	14	$222.38	$112.48
93923 Complete ultrasound study of arm and leg arteries	15	15	$46.00	$22.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$84.00	$35.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$402.00	$200.07
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	15	14	$852.00	$230.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$78.00	$38.73
37228 Balloon dilation of artery of leg, initial vessel	12	11	$1133.00	$558.60
93882 Ultrasound of one side of head and neck blood flow	12	11	$232.00	$124.75
93990 Ultrasound of dialysis access	12	11	$274.00	$130.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$402.00	$185.00
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	11	11	$966.00	$373.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	162	120	$142.00	$64.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	59	$142.00	$70.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	59	$274.00	$134.33
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	45	43	$98.00	$11.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	38	$210.00	$100.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	42	$84.00	$35.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$324.00	$159.11
76937 Ultrasonic guidance for blood vessel access	36	35	$48.00	$13.88
93880 Ultrasound of both sides of head and neck blood flow	36	34	$358.00	$183.86
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	31	29	$65.32	$18.77
93922 Ultrasound study of arm and leg arteries	30	23	$166.00	$65.38
93923 Complete ultrasound study of arm and leg arteries	30	30	$247.60	$115.00
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	26	24	$418.00	$174.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$205.00	$97.36
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	22	20	$292.00	$104.19
97597 Removal of tissue from wound, 20.0 sq cm or less	21	16	$146.00	$23.03
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$1575.52	$340.98
93990 Ultrasound of dialysis access	19	18	$274.00	$128.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$402.00	$198.72
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	18	16	$165.00	$52.67
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	17	16	$2329.00	$218.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$280.00	$123.72
93970 Ultrasound study of arm or leg veins with compression and maneuvers	15	13	$354.00	$175.64
93926 Ultrasound of one leg arteries or artery grafts	14	11	$266.00	$126.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$78.00	$38.53
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$884.77	$249.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$402.00	$200.38
75625 Radiological supervision and interpretation X-ray of abdominal aorta	12	12	$168.00	$46.20

Medical Specialties & State Licenses

CMS Verified: 2025-11-05

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License PA MD445620

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD445620

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.

Hospital & Practice Group Affiliations

Lancaster General Medical Group

555 N Duke St 1st Floor, Lancaster, PA 176022250

Phone: 7175603782

Lancaster General Medical Group

2106 Harrisburg Pike, Lancaster, PA 176012644

Lancaster General Medical Group

554 N Duke St, Lancaster, PA 176022250

Phone: 7172915863

Lancaster General Medical Group

555 N Duke St, Lancaster, PA 176022250

Lancaster General Medical Group

1261 Division Hwy, Ephrata, PA 175228822

Lancaster General Medical Group

2150 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7175443059

Lancaster General Medical Group

2100 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7175443216

Lancaster General Medical Group

2102 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7175449400

Lancaster General Medical Group

1261 Division Hwy 2, Ephrata, PA 175228822

Phone: 7177385544

Lancaster General Medical Group

2102 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7172915863

Lancaster General Medical Group

3045 Marietta Ave, Lancaster, PA 176011321

Phone: 7172994644

Lancaster General Medical Group

2108 Harrisburg Pike, Lancaster, PA 176012644

Lancaster General Medical Group

2112 Harrisburg Pike, Lancaster, PA 176012644

Lancaster General Medical Group

2110 Harrisburg Pike, Lancaster, PA 176012644

Lancaster General Medical Group

2104 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7175443626

Practice Associates & Co-Workers

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

25 Associated Practitioners

Dr. Mary Theresa Lewis , MD

Otolaryngology

NPI 1023215969

Doctor of Medicine (M.D.)

Dr. Fiona Gaunay , MD

Colon & Rectal Surgery

NPI 1083904528

Doctor of Medicine (M.D.)

Ashley Matlack , PA-C

Physician Assistant - Surgical

NPI 1104139153

Physician Assistant (Certified)

Janelle Kothe , PA-C

Physician Assistant

NPI 1104598689

Physician Assistant (Certified)

Dr. Steven Parker , MD

Surgery

NPI 1104807916

Doctor of Medicine (M.D.)

Dr. William Hope , MD

Surgery

NPI 1144756743

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address November 05, 2025

Registered at 2102 HARRISBURG PIKE, PO BOX 3200, LANCASTER, PA 176012644 (Tel: 7175443626)

📍

Updated Practice Location April 25, 2019

Registered at 2104 HARRISBURG PIKE STE 200, LANCASTER, PA 176012644 (Tel: 7175443626)

📍

Updated Business Mailing Address April 25, 2019

Registered at 2104 HARRISBURG PIKE STE 200, LANCASTER, PA 176012644 (Tel: 7175443626)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2019

Surgery (License #MD445620 in PA)

✅

NPI Profile Active July 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2012

Registered at 3401 N BROAD ST, PARKINSON PAVILION, SUITE 400, PHILADELPHIA, PA 191405103 (Tel: 2678380656)

📍

Updated Business Mailing Address July 06, 2012

Registered at 3401 N BROAD ST, PARKINSON PAVILION, SUITE 400, PHILADELPHIA, PA 191405103

👤

Provider Name / Credentials Updated July 06, 2012

Recorded as JOHN AFFUSO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2012

Surgery (License #25MA08844300 in NJ)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1932367919

Entity Type:

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

Enumeration Date: May 27, 2008

Last Update: November 05, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2102 Harrisburg Pike, Po Box 3200

Lancaster, PA 176012644

Phone: 7175443626

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.