Active NPI 1649262015 Individual Practitioner Male Practitioner

Dr. Edwin Webster Shearburn , MD

Surgery • Sellersville, PA

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Shearburn, MD is a registered healthcare professional specializing in Surgery in Sellersville, PA. Practice services are available at 915 LAWN AVE under active NPI credentials.

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, initial hospital care with straightforward or low-level 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

915 Lawn Ave
Suite 203

Sellersville, PA 189601551

Telephone 2154533400

Fax 2154533410

Associated Practice Facility / Clinic

🏢 Bux-Mont Oncology Hematology Medical Associates Pc Facility NPI 1699706416

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sellersville, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.0 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Sellersville, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$120.00	$80.12

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	83	31	$100.00	$77.72
99213 Established patient office or other outpatient visit, typically 15 minutes	62	55	$120.00	$79.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$60.00	$48.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$185.00	$146.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	17	$67.50	$42.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$185.00	$116.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$270.00	$216.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$116.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$176.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	84	68	$120.00	$72.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	43	$100.00	$71.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	27	$145.00	$102.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$270.00	$200.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	20	$60.00	$38.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$185.00	$106.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$225.00	$163.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$60.00	$43.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$108.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	58	$120.00	$71.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	39	$100.00	$69.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	48	$270.00	$196.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	30	$145.00	$100.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	35	$185.00	$105.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$225.00	$160.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$150.00	$103.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$60.00	$38.01
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	$300.00	$201.01

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD016225E

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

000647298 (PA)

Commercial Insurance / Payer ID Blue Shield

010058 (PA)

Commercial Insurance / Payer ID Keystone Heath Plans

0021717000 (PA)

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. James Watson , MD

Surgery - Surgical Oncology

NPI 1013930734

Doctor of Medicine (M.D.)

Dr. Arthur Flatau , MD

Surgery

NPI 1023184041

Doctor of Medicine (M.D.)

Dr. Eric Olivero , MD

Surgery - Vascular Surgery

NPI 1023213204

Doctor of Medicine (M.D.)

Dr. Daniel Latta , MD

Colon & Rectal Surgery

NPI 1023456852

Doctor of Medicine (M.D.)

Dr. Lewis Gill , MD

Surgery

NPI 1053319467

Doctor of Medicine (M.D.)

Kelly Williamson , PA-C

Physician Assistant - Medical

NPI 1053621052

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 June 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 11, 2015

Registered at 915 LAWN AVE, SUITE 203, SELLERSVILLE, PA 189601551 (Tel: 2154533400)

📍

Updated Business Mailing Address June 11, 2015

Registered at PO BOX 1111, HARLEYSVILLE, PA 194380907 (Tel: 2154534995)

👤

Provider Name / Credentials Updated June 11, 2015

Recorded as EDWIN SHEARBURN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Surgery (License #MD016225E in PA)

🟢

Initial NPI Registration & Enumeration August 22, 2005

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: 1649262015

Entity Type:

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

Enumeration Date: August 22, 2005

Last Update: June 11, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1111

Harleysville, PA 194380907

Phone: 2154534995

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.