Active NPI 1609844646 Individual Practitioner Male Practitioner

Dr. Barry J Pernikoff , MD

Colon & Rectal Surgery • Plains, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Barry Pernikoff, MD is a certified Colon & Rectal Surgery practicing in Plains, PA. With approximately 44 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1982, Dr. Pernikoff delivers high-quality medical care to the local community at 200 S RIVER ST.

Dr. Pernikoff is affiliated with Commonwealth Physician Network Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 S River St

Plains, PA 187051143

Telephone 5708211100

Fax 5708211108

Associated Practice Facility / Clinic

🏢 Surgical Specialists Of Wyoming Valley, Pc Facility NPI 1497717482

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Plains, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Plains, PA (126 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pernikoff (44 Years) 44 Yrs

Plains Specialty Average (44.0 Years) 44.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	221	$200.00	$121.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$275.00	$155.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	17	$100.00	$47.88
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$518.00	$173.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$325.00	$126.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$175.00	$76.21
45300 Diagnostic examination of rectum and large bowel using an endoscope	18	18	$310.00	$106.97
46600 Diagnostic examination of the anus using an endoscope	17	16	$215.00	$103.62
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$605.00	$218.00
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	$350.00	$212.51

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	322	216	$200.00	$122.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$275.00	$160.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	27	$100.00	$46.45
45300 Diagnostic examination of rectum and large bowel using an endoscope	39	37	$310.00	$117.57
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	33	33	$518.00	$175.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	30	$325.00	$123.31
46600 Diagnostic examination of the anus using an endoscope	24	22	$215.00	$114.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$670.00	$232.04
46221 Removal of external hemorrhoids by rubber banding	20	15	$665.00	$274.76
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$520.00	$167.28
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	$350.00	$213.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$175.00	$77.39
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$325.00	$81.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$250.00	$173.90
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$605.00	$205.10

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	358	230	$200.00	$124.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	54	$175.00	$69.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	39	$100.00	$38.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$275.00	$164.79
45300 Diagnostic examination of rectum and large bowel using an endoscope	70	66	$310.00	$116.53
46600 Diagnostic examination of the anus using an endoscope	35	27	$215.00	$117.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	28	$250.00	$177.91
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$518.00	$179.75
46221 Removal of external hemorrhoids by rubber banding	19	14	$665.00	$284.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$670.00	$251.33
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	$350.00	$218.47
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$490.00	$182.29

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	222	175	$200.00	$126.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	183	54	$100.00	$38.01
99213 Established patient office or other outpatient visit, typically 15 minutes	107	91	$125.00	$89.92
45300 Diagnostic examination of rectum and large bowel using an endoscope	95	90	$310.00	$119.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	52	$175.00	$71.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$275.00	$166.49
46600 Diagnostic examination of the anus using an endoscope	37	31	$215.00	$119.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	32	$250.00	$179.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$200.00	$111.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$518.00	$185.92
46221 Removal of external hemorrhoids by rubber banding	17	13	$665.00	$289.48
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$670.00	$254.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$350.00	$207.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	174	$125.00	$74.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	198	56	$100.00	$39.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	123	$200.00	$107.96
45300 Diagnostic examination of rectum and large bowel using an endoscope	109	90	$310.00	$118.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	66	$175.00	$71.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$275.00	$163.69
46600 Diagnostic examination of the anus using an endoscope	31	24	$215.00	$99.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$200.00	$106.54
45380 Biopsy of large bowel using an endoscope	12	11	$525.00	$190.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	253	198	$125.00	$71.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	206	67	$100.00	$38.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	142	$200.00	$105.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	128	81	$175.00	$71.92
45300 Diagnostic examination of rectum and large bowel using an endoscope	116	99	$310.00	$107.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$275.00	$160.92
46600 Diagnostic examination of the anus using an endoscope	28	25	$215.00	$92.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$485.00	$188.60
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	21	20	$605.00	$234.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$350.00	$202.44
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$490.00	$183.95
44204 Partial removal of large bowel using an endoscope	15	15	$3738.33	$1477.49
45380 Biopsy of large bowel using an endoscope	14	14	$525.00	$182.52
46221 Removal of external hemorrhoids by rubber banding	13	13	$665.00	$265.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$200.00	$105.68
45300 Diagnostic examination of rectum and large bowel using an endoscope	13	12	$140.00	$26.75
46930 Destruction of internal anal hemorrhoids	12	11	$516.67	$202.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	249	85	$90.76	$37.59
99213 Established patient office or other outpatient visit, typically 15 minutes	213	169	$125.00	$68.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	163	$188.37	$101.37
45300 Diagnostic examination of rectum and large bowel using an endoscope	108	97	$276.67	$109.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$278.66	$155.94
46600 Diagnostic examination of the anus using an endoscope	32	27	$192.50	$81.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	28	$170.31	$69.64
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$545.36	$180.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$214.42	$131.34
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$562.50	$182.59
46221 Removal of external hemorrhoids by rubber banding	20	15	$573.75	$254.81
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$740.79	$226.82
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$259.38	$97.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$200.00	$101.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$112.08	$37.90
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	$350.00	$181.83

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	515	339	$181.17	$103.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	193	70	$75.00	$38.13
45300 Diagnostic examination of rectum and large bowel using an endoscope	103	84	$160.00	$117.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	96	48	$100.00	$70.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	92	$279.84	$157.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	85	$250.00	$196.75
45378 Diagnostic exam of large bowel using a flexible endoscope	32	31	$800.00	$174.29
46221 Removal of external hemorrhoids by rubber banding	31	24	$300.00	$259.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$200.00	$134.30
46600 Diagnostic examination of the anus using an endoscope	29	26	$125.00	$84.61
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	15	15	$1250.00	$232.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$800.00	$186.76
47562 Removal of gallbladder using an endoscope	14	14	$1600.00	$634.95
45300 Diagnostic examination of rectum and large bowel using an endoscope	13	13	$160.00	$26.99

Medical Specialties & State Licenses

CMS Verified: 2021-09-17

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License PA MD044775L

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD044775L

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

1249713010 (PA)

Hospital & Practice Group Affiliations

Commonwealth Physician Network Llc

4 E Main St, Nanticoke, PA 186341602

Phone: 5707357474

Commonwealth Physician Network Llc

200 S River St, Plains, PA 187051143

Phone: 5708211100

Commonwealth Physician Network Llc

575 N River St, Wilkes Barre, PA 187022634

Phone: 5705528938

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Juan Derojas , MD

Surgery - Vascular Surgery

NPI 1073581013

Doctor of Medicine (M.D.)

Gary Neale , MB CHB

Specialist

NPI 1104974328

MBCHB

Kyle Landis , PA

Physician Assistant - Surgical

NPI 1144773151

Physician Assistant

Dr. Chester Yavorski , MD

Surgery - Vascular Surgery

NPI 1174590467

Doctor of Medicine (M.D.)

Dr. Clark Gerhart , MD

Surgery

NPI 1265400204

Doctor of Medicine (M.D.)

Dr. David Lucchino , MD

Surgery

NPI 1265409551

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 200 S RIVER ST, PLAINS, PA 187051143 (Tel: 5708211100)

📍

Updated Business Mailing Address July 08, 2007

Registered at 200 S RIVER ST, PLAINS, PA 187051143 (Tel: 5708211100)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BARRY PERNIKOFF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD044775L in PA)

🟢

Initial NPI Registration & Enumeration March 08, 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: 1609844646

Entity Type:

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

Enumeration Date: March 08, 2006

Last Update: September 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 S River St

Plains, PA 187051143

Phone: 5708211100

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.