Active NPI 1013919489 Individual Practitioner Male Practitioner

Dr. David Werner Koelsch , MD

Surgery • Oak Ridge, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Koelsch, MD is a certified Surgery practicing in Oak Ridge, TN. With approximately 30 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1996, Dr. Koelsch delivers high-quality medical care to the local community at 120 ADMINISTRATION RD.

Dr. Koelsch is affiliated with Covenant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, 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

120 Administration Rd

Oak Ridge, TN 378308822

Telephone 8654837030

Fax 8654833954

Associated Practice Facility / Clinic

🏢 Oak Ridge Surgeons, P.c. Facility NPI 1295785970

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oak Ridge, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Oak Ridge, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koelsch (30 Years) 30 Yrs

Oak Ridge Specialty Average (24.0 Years) 24.0 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	106	37	$72.00	$45.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$295.00	$153.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	45	$252.00	$119.71
99213 Established patient office or other outpatient visit, typically 15 minutes	46	33	$160.00	$83.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$228.00	$110.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$99.00	$51.68
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1230.00	$181.76
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2017.00	$603.02
38900 Lymph node imaging during surgery	11	11	$391.00	$112.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	41	$72.00	$46.84
99213 Established patient office or other outpatient visit, typically 15 minutes	42	28	$160.00	$84.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	39	$252.00	$123.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$295.00	$156.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$228.00	$112.41
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2017.00	$657.45
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1230.00	$238.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$285.29	$156.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	16	$69.09	$36.16
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$114.67	$83.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	21	$151.56	$121.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$242.43	$124.56
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1938.28	$670.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$191.71	$103.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$68.54	$52.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	135	$92.00	$86.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	113	$137.00	$122.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	42	$101.00	$68.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	77	57	$55.00	$52.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$210.00	$155.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	20	$145.00	$98.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	28	$185.00	$125.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	21	$56.00	$36.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$274.00	$191.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$575.00	$59.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	21	$2475.00	$321.74
45380 Biopsy of large bowel using an endoscope	22	22	$544.00	$160.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$136.00	$106.07
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$454.00	$173.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	15	$50.22	$18.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$575.00	$178.60
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1765.08	$693.86
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$568.00	$206.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	179	$143.66	$69.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	53	$85.24	$42.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	25	$102.73	$69.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	59	$163.46	$99.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$256.93	$152.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$208.60	$101.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	23	$86.24	$37.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	45	$252.34	$133.49
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	31	31	$610.58	$201.03
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$479.06	$182.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$562.91	$79.10
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$980.16	$178.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$567.65	$181.83
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1845.06	$702.04
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$561.76	$180.37
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$138.60	$71.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	254	$204.00	$68.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	75	$121.00	$41.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	37	$113.00	$37.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$301.00	$101.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	47	$390.85	$131.86
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	29	29	$700.00	$225.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$537.00	$105.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$466.00	$155.48
45378 Diagnostic exam of large bowel using a flexible endoscope	20	19	$565.00	$175.88
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2037.00	$694.46
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$1574.74	$328.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$550.00	$176.89
43453 Dilation of esophagus	16	16	$270.00	$42.05
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$550.00	$181.97
10021 Fine needle aspiration biopsy, first growth	15	15	$409.00	$91.40
38900 Lymph node imaging during surgery	11	11	$397.00	$134.94
99219 Hospital observation care, typically 50 minutes	11	11	$396.00	$130.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	334	252	$204.00	$67.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	111	$121.00	$40.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	43	$113.00	$37.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$466.00	$155.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$301.00	$100.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	63	56	$396.00	$131.31
45378 Diagnostic exam of large bowel using a flexible endoscope	46	46	$565.00	$180.36
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$531.22	$89.17
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	33	$700.00	$221.72
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	29	29	$2037.00	$687.30
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	26	$450.00	$86.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	27	27	$550.00	$181.57
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$1035.00	$327.72
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$207.00	$70.07
10021 Fine needle aspiration biopsy, first growth	15	14	$409.00	$106.90
43453 Dilation of esophagus	14	13	$312.86	$41.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$302.00	$101.28
49650 Repair of groin hernia using an endoscope	12	12	$1315.17	$390.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	328	219	$204.00	$66.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	146	38	$113.00	$36.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$466.00	$151.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	64	$121.00	$39.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	75	$302.00	$98.89
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$565.00	$174.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$301.00	$99.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	38	$462.92	$84.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	33	$584.17	$190.37
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	35	35	$700.00	$214.09
10021 Fine needle aspiration biopsy, first growth	23	22	$409.00	$110.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$396.00	$128.79
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	22	21	$1035.00	$322.72
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$2037.00	$672.30
38900 Lymph node imaging during surgery	17	17	$397.00	$131.41
43453 Dilation of esophagus	15	14	$310.00	$41.21
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$530.00	$165.27
19302 Partial removal of breast and underarm lymph nodes	13	13	$2740.77	$840.77
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$207.00	$68.26
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$550.00	$176.51

Medical Specialties & State Licenses

CMS Verified: 2022-05-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 47206

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 36460

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

Q073499 (TN)

Commercial Insurance / Payer ID Bc/bs Pin #

000000191916 (KY)

Hospital & Practice Group Affiliations

Covenant Medical Group Inc

111 Clyde St, Loudon, TN 377741600

Phone: 8654581554

Practice Associates & Co-Workers

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

9 Associated Practitioners

Mary Stauber , PA-C

Physician Assistant - Surgical

NPI 1104802198

Physician Assistant (Certified)

Dr. David Stanley , MD

Surgery - Vascular Surgery

NPI 1265418032

Doctor of Medicine (M.D.)

Ashley Day

Surgery

NPI 1285263624

Dr. William Dallas , MD

Surgery

NPI 1326024308

Doctor of Medicine (M.D.)

Dr. Joseph Metcalf , MD

Surgery

NPI 1356332126

Doctor of Medicine (M.D.)

Dr. Daniel Graves , MD

Surgery

NPI 1548557457

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 Practice Location May 02, 2022

Registered at 120 ADMINISTRATION RD, OAK RIDGE, TN 378308822 (Tel: 8654837030)

📍

Updated Business Mailing Address May 02, 2022

Registered at 120 ADMINISTRATION RD, OAK RIDGE, TN 378308822 (Tel: 8654837030)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Surgery (License #47206 in TN)

📍

Updated Practice Location June 13, 2018

Registered at 300 S 8TH ST, SUITE 401E, MURRAY, KY 42071 (Tel: 2707532444)

✅

NPI Profile Active July 20, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2007

Registered at 300 S 8TH ST, SUITE 401E, MURRAY, KY 420712400 (Tel: 2707532444)

📍

Updated Business Mailing Address July 20, 2007

Registered at 300 S 8TH ST, SUITE 401E, MURRAY, KY 420712400 (Tel: 2707532444)

👤

Provider Name / Credentials Updated July 20, 2007

Recorded as DAVID KOELSCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2007

Surgery (License #36460 in KY)

🟢

Initial NPI Registration & Enumeration August 15, 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: 1013919489

Entity Type:

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

Enumeration Date: August 15, 2005

Last Update: May 02, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Administration Rd

Oak Ridge, TN 378308822

Phone: 8654837030

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.