Active NPI 1154589885 Individual Practitioner Male Practitioner

Dr. Toshitaka Hoppo , MD PHD

Surgery • Mc Murray, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Toshitaka Hoppo, MD PHD is a certified Surgery practicing in Mc Murray, PA. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Hoppo delivers high-quality medical care to the local community at 138 GALLERY DR.

Dr. Hoppo is affiliated with Rutgers Health-Rwj Neurosurgery Faculty and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

138 Gallery Dr

Mc Murray, PA 153172690

Telephone 4122676290

Fax 4122676291

Associated Practice Facility / Clinic

🏢 Allegheny Clinic Facility NPI 1265845044

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mc Murray, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs Matches City Avg

City Avg: 32.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Mc Murray, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hoppo (32 Years) 32 Yrs

Mc Murray Specialty Average (32.0 Years) 32.0 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
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	$1441.00	$247.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$371.58	$120.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	41	$404.62	$62.92
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	36	33	$485.83	$128.60
91010 Study of esophagus to assess movement	18	18	$670.00	$212.75
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	16	16	$238.88	$79.20
91037 Monitoring and recording of esophageal function through nasal tube with electrode	16	16	$509.50	$162.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$483.58	$162.16
43245 Dilation of stomach outlet using an endoscope	11	11	$514.18	$170.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	85	83	$401.53	$63.69
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	77	65	$480.43	$128.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$366.68	$122.92
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	53	52	$374.49	$80.86
91010 Study of esophagus to assess movement	49	49	$670.98	$218.25
91037 Monitoring and recording of esophageal function through nasal tube with electrode	49	49	$514.33	$169.72
43245 Dilation of stomach outlet using an endoscope	30	23	$508.67	$173.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$479.00	$164.08
99441 Telephone medical discussion with physician, 5-10 minutes	24	22	$164.38	$39.42
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$259.00	$80.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$533.00	$176.33
43280 Repair of muscle at esophagus and stomach using an endoscope	17	17	$3188.53	$1047.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	92	$370.00	$126.79
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	98	83	$469.00	$136.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	97	94	$392.00	$49.80
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	65	65	$537.00	$80.31
91010 Study of esophagus to assess movement	45	45	$646.00	$218.64
91037 Monitoring and recording of esophageal function through nasal tube with electrode	42	42	$506.00	$171.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$479.00	$166.58
43245 Dilation of stomach outlet using an endoscope	37	29	$498.00	$176.25
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$261.00	$90.43
99442 Telephone medical discussion with physician, 11-20 minutes	22	20	$262.00	$90.58
99441 Telephone medical discussion with physician, 5-10 minutes	21	19	$162.00	$55.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	68	53	$1089.00	$149.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	56	$294.00	$105.85
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	44	42	$253.00	$84.52
91010 Study of esophagus to assess movement	36	36	$554.00	$197.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$1051.00	$106.37
91037 Monitoring and recording of esophageal function through nasal tube with electrode	30	30	$479.00	$162.65
99441 Telephone medical discussion with physician, 5-10 minutes	28	26	$129.46	$44.52
99442 Telephone medical discussion with physician, 11-20 minutes	22	20	$221.00	$74.35
99443 Telephone medical discussion with physician, 21-30 minutes	17	17	$307.76	$107.47
43245 Dilation of stomach outlet using an endoscope	16	14	$1667.00	$169.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$447.00	$163.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	114	$264.00	$103.54
91010 Study of esophagus to assess movement	77	77	$470.00	$178.23
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	66	55	$858.00	$155.78
91037 Monitoring and recording of esophageal function through nasal tube with electrode	65	65	$431.00	$156.13
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	65	65	$210.00	$82.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	53	$898.00	$137.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$405.00	$158.05
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$179.00	$72.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	79	$261.60	$102.84
91010 Study of esophagus to assess movement	54	53	$470.00	$160.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	41	$898.00	$134.20
91037 Monitoring and recording of esophageal function through nasal tube with electrode	42	42	$431.00	$148.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$399.47	$160.63
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	32	25	$822.28	$157.91
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	30	30	$209.80	$83.26
91038 Prolonged monitoring and recording of esophageal function through nasal tube with electrode	12	12	$391.42	$212.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	87	$240.00	$103.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	57	55	$898.00	$97.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$370.00	$155.68
91010 Study of esophagus to assess movement	42	42	$470.00	$161.28
91037 Monitoring and recording of esophageal function through nasal tube with electrode	37	37	$389.92	$141.76
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	29	23	$477.00	$160.21
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	12	12	$204.00	$185.68

Medical Specialties & State Licenses

CMS Verified: 2024-04-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA12025400

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License PA MD433648

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2941320 (OH)

Medicaid State Provider ID

102166135-0002 (PA)

Hospital & Practice Group Affiliations

Rutgers Health-Rwj Neurosurgery Faculty

125 Paterson St, New Brunswick, NJ 089011962

Phone: 7322357756

Practice Associates & Co-Workers

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

2 Associated Practitioners

Paula Tirpak , CCC, SLP

Speech-Language Pathologist

NPI 1245423094

Certificate of Clinical Competence, Speech-Language Pathologist

Emily Fazio , PA-C

Physician Assistant - Surgical

NPI 1659025336

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2016

Registered at 138 GALLERY DR, MC MURRAY, PA 153172690 (Tel: 4123596137)

📍

Updated Business Mailing Address January 04, 2016

Registered at 138 GALLERY DR, MC MURRAY, PA 153172690 (Tel: 4123596137)

👤

Provider Name / Credentials Updated January 04, 2016

Recorded as TOSHITAKA HOPPO, M.D. PH.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2016

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #MD433648 in PA)

🟢

Initial NPI Registration & Enumeration May 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Toshitaka Hoppo. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154589885

Entity Type:

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

Enumeration Date: May 29, 2008

Last Update: April 25, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

138 Gallery Dr

Mc Murray, PA 153172690

Phone: 4122676290

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.