Active NPI 1467680454 Individual Practitioner Male Practitioner

Dr. Mathew M Edavettal , MD

Surgery • Lancaster, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mathew Edavettal, MD is a certified Surgery practicing in Lancaster, PA. With approximately 25 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2001, Dr. Edavettal delivers high-quality medical care to the local community at 555 N DUKE ST.

Dr. Edavettal is affiliated with Sacred Heart Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

555 N Duke St

Lancaster, PA 176022250

Telephone 7175445511

Associated Practice Facility / Clinic

🏢 Select Specialty Hospital - Lancaster Inc Facility NPI 1205836046

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lancaster, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +6.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

33 Specialists

Practicing in Lancaster, PA (1976 Statewide)

Telehealth Adoption Rate

12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edavettal (25 Years) 25 Yrs

Lancaster Specialty Average (18.2 Years) 18.2 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$351.38	$131.33
99291 Critical care, first 30-74 minutes	44	43	$569.70	$215.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$516.33	$174.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$350.23	$131.86
99291 Critical care, first 30-74 minutes	23	23	$569.70	$217.91

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	98	53	$164.19	$69.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	40	$234.00	$100.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	85	$432.21	$194.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	33	$92.27	$37.55
99291 Critical care, first 30-74 minutes	30	21	$607.33	$215.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$337.27	$130.84

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	250	106	$234.79	$100.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	69	$165.16	$70.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	125	123	$427.85	$195.69
99291 Critical care, first 30-74 minutes	40	24	$612.03	$217.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$334.55	$135.66

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	237	103	$234.24	$103.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	61	$164.00	$71.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	109	$406.30	$201.48
99291 Critical care, first 30-74 minutes	49	31	$618.92	$221.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$331.36	$139.75
47562 Removal of gallbladder using an endoscope	12	12	$1591.00	$606.56

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	165	84	$164.00	$71.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	152	85	$234.00	$102.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	102	97	$444.80	$198.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	27	$92.00	$38.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$303.00	$134.66
99291 Critical care, first 30-74 minutes	20	14	$614.50	$219.38
47562 Removal of gallbladder using an endoscope	17	17	$1591.00	$651.31
99284 Emergency department visit with moderate level of medical decision making	16	16	$273.00	$115.85
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$514.00	$85.20

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	150	73	$234.00	$102.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	121	65	$164.00	$71.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$303.00	$134.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	22	$92.00	$38.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$447.00	$199.99
99284 Emergency department visit with moderate level of medical decision making	24	24	$273.00	$115.79
99291 Critical care, first 30-74 minutes	20	11	$631.00	$219.52
47562 Removal of gallbladder using an endoscope	17	17	$1591.00	$653.33

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	31	17	$234.00	$103.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$303.00	$135.08

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD437555

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

Commercial Insurance / Payer ID Pa Medical License

MD437555 (PA)

Hospital & Practice Group Affiliations

Sacred Heart Health System Inc

619 N Cove Blvd, Panama City, FL 324013642

Phone: 8507859559

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Tyler Johnston , MD

Family Medicine

NPI 1003659483

Doctor of Medicine (M.D.)

Dr. David Petkash , MD

Psychiatry & Neurology - Psychiatry

NPI 1003852443

Doctor of Medicine (M.D.)

Jacqueline Mast , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003885757

Certified Registered Nurse Anesthetist

Lilia Brice

Nurse Anesthetist, Certified Registered

NPI 1013756147

Jerome Broad , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013976109

Certified Registered Nurse Anesthetist

Dr. Jennifer Hardell , MD

Family Medicine

NPI 1023851409

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 29, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2009

Registered at 555 N DUKE ST, LANCASTER, PA 176022250 (Tel: 7175445511)

📍

Updated Business Mailing Address June 29, 2009

Registered at 555 N DUKE ST, LANCASTER, PA 176022250 (Tel: 7175445511)

👤

Provider Name / Credentials Updated June 29, 2009

Recorded as MATHEW EDAVETTAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2009

Surgery (License #MD437555 in PA)

🟢

Initial NPI Registration & Enumeration June 29, 2009

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: 1467680454

Entity Type:

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

Enumeration Date: June 29, 2009

Last Update: June 29, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

555 N Duke St

Lancaster, PA 176022250

Phone: 7175445511

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.